Information Collection

Fastener Quality Act Insignia Recordal Process

IC 4702 under ICR 201804-0651-002 · OMB 0651-0028.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0651-0028 can be found here:

Documents and Forms

Document Name Document Type
Form USPTO Form 1611 Fastener Quality Act Insignia Recordal Process Form and Instruction
USPTO Form 1611 Application for Recordal of Insignia or Renewal/Reactiva FastnerApplication.pdf www.uspto.gov/trademarks/law/fastener/FastnerApplication.pdf Form and Instruction
0651-0028 Supporting Statement April 2018 Draft.doc 0028 Supporting Statement April 2018 IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Fastener Quality Act Insignia Recordal Process	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 15 CFR 280.300-280.326

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	USPTO Form 1611	Application for Recordal of Insignia or Renewal/Reactivation of Recordal Under the Fastener Quality Act	FastnerApplication.pdf	http://www.uspto.gov/trademarks/law/fastener/FastnerApplication.pdf	Yes	Yes	Fillable Fileable Signable

Line of Business: Economic Development

Subfunction: Intellectual Property Protection

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 96	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 98 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	96	14	82
Annual IC Time Burden (Hours)	32	11	21
Annual IC Cost Burden (Dollars)	2,122	439	1,683

Documents for IC

Title	Document	Date Uploaded
0028 Supporting Statement April 2018	0651-0028 Supporting Statement April 2018 Draft.doc	04/06/2018

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