Information Collection

Request for First-Action Interview (Pilot Program)

IC 180801 under ICR 200706-0651-004 · OMB 0651-0031.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0651-0031 can be found here:

Documents and Forms

Document Name Document Type
Form PTOL-413C Request for First-Action Interview (Pilot Program) Form and Instruction
PTOL-413C Request for First-Action Interview (Pilot Program) PTOL-413C.pdf Form and Instruction
CWS First-Action Interview Form.doc Change Worksheet for0651-0031 IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Request for First-Action Interview (Pilot Program)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	PTOL-413C	Request for First-Action Interview (Pilot Program)	PTOL-413C.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: Economic Development

Subfunction: Intellectual Property Protection

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,000	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,000	1,000
Annual IC Time Burden (Hours)	2,500	2,500
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Change Worksheet for0651-0031	CWS First-Action Interview Form.doc	06/20/2007

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.