Information Collection

Application for Limited Registration

IC 229126 under ICR 201712-0651-015 · OMB 0651-0012.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0651-0012 can be found here:

Documents and Forms

Document Name Document Type
Form Application for Re Application for Limited Registration Form
Application for Re PTO 158 PTO158_Application_for_Registration.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for Limited Registration	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 11.6(b)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	Application for Registration	PTO 158	PTO158_Application_for_Registration.pdf		Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Intellectual Property Protection

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 638	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	638	638
Annual IC Time Burden (Hours)	319	319
Annual IC Cost Burden (Dollars)	127,600	127,600

Documents for IC

Title	Document	Date Uploaded
No associated records found

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