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00XX Petitions to the Chief Administrative Patent Judge under 37 CFR 41.3

IC 203004 under ICR 201212-0651-001 · OMB 0651-0072.

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IC Title:	00XX Petitions to the Chief Administrative Patent Judge under 37 CFR 41.3	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 41.3

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: 162	Number of Respondents for Small Entity: 41

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

Percentage of Respondents Reporting Electronically: 90 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	162	162
Annual IC Time Burden (Hours)	648	648
Annual IC Cost Burden (Dollars)	64,853	64,853

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