Application for International Registration (Individuals and Households)

International Design Applications (Hague Agreement)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0651-0075 can be found here:

Documents and Forms

Document Name Document Type
Form DM/1/Annex 1 Application for International Registration (Individuals and Households) Form
DM/1/Annex 1 Oath or Declaration of the Creator form_dm_1_annex_I.pdf www.wipo.int/hague/en/forms/ Form
Annex II Supporting Document(s) Concerning a Declaration to the E form_dm_1_annex_II.pdf www.wipo.int/hague/en/forms/ Form
DM/1/Annex III Information on Eligibility for Protection form_dm_1_annex_III.pdf www.wipo.int/hague/en/forms/ Form
DM/1/Annex IV Reduction of United States Individual Designation Fee form_dm_1_annex_IV.pdf www.wipo.int/hague/en/forms/ Form
DM/1/Annex V Supporting Document(s) Concerning Priority Claim to the form_dm_1_annex_V.pdf www.wipo.int/hague/en/forms/ Form
WIPO DM/7 Appointment of a Representative form_dm_7.pdf www.wipo.int/export/sites/www/hague/en/forms/docs/form_dm_7-editable1.pdf Form

Information Collection (IC) Details

IC Title:	Application for International Registration (Individuals and Households)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 37 CFR 1.1022

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	DM/1/Annex 1	Oath or Declaration of the Creator	form_dm_1_annex_I.pdf	https://www.wipo.int/hague/en/forms/	Yes	Yes	Fillable Fileable
Form	Annex II	Supporting Document(s) Concerning a Declaration to the Exception to Lack of Novelty	form_dm_1_annex_II.pdf	https://www.wipo.int/hague/en/forms/	Yes	Yes	Fillable Fileable
Form	DM/1/Annex III	Information on Eligibility for Protection	form_dm_1_annex_III.pdf	https://www.wipo.int/hague/en/forms/	Yes	Yes	Fillable Fileable
Form	DM/1/Annex IV	Reduction of United States Individual Designation Fee	form_dm_1_annex_IV.pdf	https://www.wipo.int/hague/en/forms/	Yes	Yes	Fillable Fileable
Form	DM/1/Annex V	Supporting Document(s) Concerning Priority Claim to the Korean Intellectual Property Office (KIPO)	form_dm_1_annex_V.pdf	https://www.wipo.int/hague/en/forms/	Yes	Yes	Fillable Fileable
Form	WIPO DM/7	Appointment of a Representative	form_dm_7.pdf	https://www.wipo.int/export/sites/www/hague/en/forms/docs/form_dm_7-editable1.pdf	Yes	Yes	Fillable Fileable Signable

Line of Business: Economic Development

Subfunction: Intellectual Property Protection

Privacy Act System of Records
Title: Patent Application Files	FR Citation: 78 FR 19243

Number of Respondents: 6	Number of Respondents for Small Entity: 6

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to New Statute	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	30	0	-126	156
Annual IC Time Burden (Hours)	83	0	-541	624
Annual IC Cost Burden (Dollars)	49,872	-807	50,673	6

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.