OMB Control No. 0651-0080
Expiration Date: 08/31/2018

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The form below may be used to request participation in the Virtual Instructor Led Training (vILT) program. Please fill in the information desired below and click on the "Submit" button.

Enter Requesting Information

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(only fillable if Yes is selected)
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(only fillable if Yes is selected)
(only fillable if Yes is selected)

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Requests to participate in vILT are granted depending upon resources, training time available, and the intended target audience for each course. You will be contacted regarding your request when the registration for the selected course closes. If you are not contacted at least one month prior to the start date of the selected course please email us at vILT@uspto.gov.

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 vILT courses. 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 vILT courses. 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

The United States Patent and Trademark Office (USPTO) is using this report form to gauge interest with the vILT Program. This report is strictly voluntary, includes 20 questions and should take around 3 minutes to complete. This information collection contains requirements subject to the Paperwork Reduction Act (PRA). Notwithstanding any other provisions of the law, no person is required to respond to, nor shall any person be subject to penalty for failure to comply with, a collection of information subject to the requirements of the PRA, unless that collection of information displays a currently valid OMB control number.