Substitute Statement in Lieu of a Declaration of Inventorship for the Purpose of Designating the United States

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⚠️ Notice: This information collection may be referencing outdated material.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 WIPO D/1/I Substitute Statement in Lieu of a Declaration of Inventorship for the Purpose of Designating the United States Form and Instruction
WIPO D/1/I Annex I: Oath or Declaration of the creator WIPO DM.1.I - Annex I.pdf www.wipo.int/export/sites/www/hague/en/docs/form_dm_1_annex_i-editable1.pdf Form and Instruction
WIPO D/1/I Annex I: Oath or Declaration of the creator WIPO DM.1.I - Annex I.pdf www.wipo.int/export/sites/www/hague/en/docs/form_dm_1_annex_i-editable1.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Substitute Statement in Lieu of a Declaration of Inventorship for the Purpose of Designating the United States	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 37 CFR 1.64

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	WIPO D/1/I	Annex I: Oath or Declaration of the creator	WIPO DM.1.I - Annex I.pdf	https://www.wipo.int/export/sites/www/hague/en/docs/form_dm_1_annex_i-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: 2	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	2	2
Annual IC Time Burden (Hours)	1	1
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.