Information Collection

Application by Law School Faculty Member to Become a Faculty Clinic Supervisor

IC 218683 under ICR 202211-0651-002 · OMB 0651-0081.

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Information Collection (IC) Details

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IC Title:	Application by Law School Faculty Member to Become a Faculty Clinic Supervisor	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 11.16-17

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: PAT-TM-1 Attorneys and Agents Registered or Recognized to Practice Before the Office	FR Citation: 78 FR 16839

Number of Respondents: 10	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 99 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	10	5	5
Annual IC Time Burden (Hours)	10	5	5
Annual IC Cost Burden (Dollars)	0	-7	7

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