Information Collection

Pro Bono Survey

IC 223967 under ICR 202001-0651-011 · OMB 0651-0082.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0651-0082 can be found here:

Documents and Forms

Document Name Document Type
Form PTO 450 Pro Bono Survey Form
PTO 450 Pro Bono Survey Pro Bono Survey Form 450.pdf cla.formstack.com/forms/patent_probono_q_reports_rev_11_29_16_copy Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Pro Bono Survey	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	PTO 450	Pro Bono Survey	Pro Bono Survey Form 450.pdf	https://cla.formstack.com/forms/patent_probono_q_reports_rev_11_29_16_copy	Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Intellectual Property Protection

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 22	Number of Respondents for Small Entity: 22

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	88	8	80
Annual IC Time Burden (Hours)	176	16	160
Annual IC Cost Burden (Dollars)	0	0	0

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.