Information Collection

Rule 1.130, 1.131, and 1.132 Affidavits or Declarations

IC 203316 under ICR 201811-0651-002 · OMB 0651-0071.

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Information Collection (IC) Details

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IC Title:	Rule 1.130, 1.131, and 1.132 Affidavits or Declarations	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 37 CFR 1.130 through 1.132

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: 400	Number of Respondents for Small Entity: 100

Affected Public: Private Sector	Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	400	-500	900
Annual IC Time Burden (Hours)	4,000	-5,000	9,000
Annual IC Cost Burden (Dollars)	54	-5,018	5,072

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