Information Collection

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

IC 265204 under ICR 202606-0651-003 · OMB 0651-0075.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form WIPO D/1/I Annex I: Oath or Declaration of the creator 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

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 37 CFR 1.64

Information Collection Instruments:

table that charts list of 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			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 %

table that charts list of burden
	Requested	Previously Approved
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

table that charts IC Documents
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.

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