Information Collection

0016 Surcharge - 11.5 year - Late payment within 6 months

IC 203125 under ICR 201301-0651-003 · OMB 0651-0072.

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Information Collection (IC) Details

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IC Title:	0016 Surcharge - 11.5 year - Late payment within 6 months	Agency IC Tracking Number:	1556/2556/3556

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 37 CFR 1.20(h)

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: 2,953	Number of Respondents for Small Entity: 1,206

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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,953	-733	3,686
Annual IC Time Burden (Hours)	0	0	0
Annual IC Cost Burden (Dollars)	361,040	-48,310	409,350

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