Humanitarian Program Application (Humanitarian Use) (State, Local, and Tribal Governments)

Patents for Humanity Program

Documents and Forms

Document Name Document Type
Form PTO PFH 001 Humanitarian Program Application (Humanitarian Use) (State, Local, and Tribal Governments) Form
Form PTO PFH 001 Humanitarian Program Application (Humanitarian Use) (State, Local, and Tribal Governments) Form
PTO PFH 001 Humanitarian Use Application PTO PFH 001 Humanitarian Use Application.docx www.uspto.gov/ip-policy/patent-policy/patents-humanity?MURL=patentsforhumanity#p4happlication Form
PTO PFH 001 Humanitarian Use Application PTO PFH 001 Humanitarian Use Application.docx www.uspto.gov/ip-policy/patent-policy/patents-humanity?MURL=patentsforhumanity#p4happlication Form

Information Collection (IC) Details

IC Title:	Humanitarian Program Application (Humanitarian Use) (State, Local, and Tribal Governments)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation: 37 CFR 1.102

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	PTO PFH 001	Humanitarian Use Application	PTO PFH 001 Humanitarian Use Application.docx	https://www.uspto.gov/ip-policy/patent-policy/patents-humanity?MURL=patentsforhumanity#p4happlication	Yes	Yes	Fillable Fileable Signable

Line of Business: Economic Development

Subfunction: Intellectual Property Protection

Privacy Act System of Records
Title: COMMERCE/PAT-TM-7 Patent Application Files	FR Citation: 78 FR 19243

Number of Respondents: 10	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	10	10
Annual IC Time Burden (Hours)	40	40
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.