OMB control number
COVID-19 Vaccine Supplemental Medical Provider Statement
OMB 0651-0087 · DOC/PTO.
OMB 0651-0087
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form USPTO-OEEOD 303 COVID-19 Vaccine Supplemental Medical Provider Statement | Form |
 0651-0087 Supporting Statement 2022.docx | Supporting Statement A |
| E.O. 14043 COVID 20210914.pdf | Supplementary Document |
| Information Quality Guidelines _ USPTO.pdf | Supplementary Document |
 COVID-19 Vaccine Supplemental Medical Provider Statement |
Form |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202201-0651-001 | Extension without change of a currently approved collection | 2022-05-31 | Approved without change | |
| 202111-0651-001 | New collection (Request for a new OMB Control Number) | 2021-11-10 | Approved without change |