Response

Stakeholder Application Readiness Training (StART) Interest Form

January 28-30, 2025

Thank you for your interest in the Stakeholder Application Readiness Training (StART) program! 

Requests to participate in the StART program are granted depending on resources, training time availability, and the intended target audience for reach course.

Please provide the requested information below. Items marked with an asterisk (*) are mandatory. You will not be considered for participation in the StART program if the mandatory information is not provided.

Course Date:

Stakeholder Application Readiness Training (START) January 28-30, 2025

Prefix

First Name

Last Name

Company

Title

Address Line 1

Address Line 2

City

State

Zip Code (or Country Code if not in the US)

Phone

Confirm Email

1. Have you already filed a patent application? Yes
No

2. When do you plan on filing an application as a Pro Se inventor? In the next: 30 day
60 day
90 day
more than 6 months

3. What technology area do you plan to file a patent application?

4. Please provide your USPTO customer number (if you have one)?

5. Are you registered to practice law in patent matters before the USPTO? Yes
No

6. Do you want to be notified of future courses? Yes
No

By completing this interest form, you authorize us to contact you for follow on questions.

Privacy Act Statement

The authority for the collection of this information is 5 U.S.C. § 301, 35 U.S.C. § 2, and E.O. 12862. The information you provide will be used to verify your identity and administer participation in Pre-Application Assessment program. The information you provide is protected from disclosure to third parties in accordance with the Privacy Act. However, routine uses of this information may include disclosure to the following: Congressional offices; Federal, state, local or foreign agencies; a court, magistrate or administrative tribunal; law enforcement; agents or contractors; the Department of Justice; the National Archives and Records Administration; and agency customers in the course of distributing patent and trademark business information. Disclosure of the information by you is voluntary; however, failure to provide any part of the requested information may result in our inability to enroll you in Pre-Application Assessment program. The applicable Privacy Act System of Records Notice for this information request is PAT/TM-23, User Access for Web Portals and Information Requests, available at https://www.uspto.gov/uspto-systems-records-notices.

PRA Statement of Burden

A Federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty for failure to comply with an information collection subject to the requirements of the Paperwork Reduction Act of 1995, unless the information collection has a valid OMB Control Number. The OMB Control Number for this information collection is 0651-0080 (expiration 11/30/27). Public burden for this form is estimated to average 3 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the information collection. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden to the Office of the Chief Administrative Officer, United States Patent and Trademark Office, P.O. Box 1450, Alexandria, VA 22313-1450 or email InformationCollection@uspto.gov.