Information Collection

Petition to Accept Unintentionally Delayed Priority/Benefit Claim

IC 178645 under ICR 201712-0651-012 · OMB 0651-0032.

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Information Collection (IC) Details

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IC Title:	Petition to Accept Unintentionally Delayed Priority/Benefit Claim	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 37 CFR 1.55 37 CFR 1.78

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: 100	Number of Respondents for Small Entity: 25

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

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	100	0	100
Annual IC Time Burden (Hours)	100	0	100
Annual IC Cost Burden (Dollars)	518,914	63,975	454,939

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