Information Collection

Revocation of Attorney/Domestic Representative and/or Appointment of Attorney/Domestic Representative (Paper)

IC 4784 under ICR 201106-0651-006 · OMB 0651-0056.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0651-0056 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	Revocation of Attorney/Domestic Representative and/or Appointment of Attorney/Domestic Representative (Paper)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 37 CFR Part 2, 2.24 37 CFR Part 2, 2.19 37 CFR Part 2, 2.17 37 CFR Part 2, 2.193 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Economic Development

Subfunction: Intellectual Property Protection

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 4,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	4,000	-9,128	13,128
Annual IC Time Burden (Hours)	680	-633	1,313
Annual IC Cost Burden (Dollars)	1,725	-3,678	5,403

Documents for IC

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