Information Collection

Rule 1.130, 1.131, and 1.132 Affidavits or Declarations

IC 203316 under ICR 201207-0651-008 · OMB 0651-0071.

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IC Title:	Rule 1.130, 1.131, and 1.132 Affidavits or Declarations	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 37 CFR 1.130 through 1.132

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: 3,500	Number of Respondents for Small Entity: 900

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

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to New Statute
Annual Number of Responses for this IC	3,500	3,500
Annual IC Time Burden (Hours)	35,000	35,000
Annual IC Cost Burden (Dollars)	17,325	17,325

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