Information Collection

Affidavit Under §71 of the Act During the Grace Period (electronic)

IC 223163 under ICR 201608-0651-005 · OMB 0651-0051.

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Documents and Forms

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Information Collection (IC) Details

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IC Title:	Affidavit Under §71 of the Act During the Grace Period (electronic)	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 7.36, 7.37 37 CFR 2.167, 2.168

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: 779	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	779	779
Annual IC Time Burden (Hours)	0	0
Annual IC Cost Burden (Dollars)	77,900	77,900

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.