Information Collection

Petition for Retroactive License

IC 239899 under ICR 202303-0651-016 · OMB 0651-0034.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0651-0034 can be found here:

Documents and Forms

Document Name Document Type
0034 EFS web user page.mht.pdf efs.uspto.gov/EFSWebUIUnregistered/EFSWebUnregistered Other-Website
0034 EFS web user page.mht.pdf efs.uspto.gov/EFSWebUIUnregistered/EFSWebUnregistered Other-Website

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Petition for Retroactive License	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 5.25 37 CFR 1.17(g)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Website			0034 EFS web user page.mht.pdf	https://efs.uspto.gov/EFSWebUIUnregistered/EFSWebUnregistered	Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Intellectual Property Protection

Privacy Act System of Records
Title: Petitioners for License to File for Foreign Patents	FR Citation: 78 FR 19463

Number of Respondents: 4	Number of Respondents for Small Entity: 4

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 75 %

	Approved	Program Change Due to New Statute	Previously Approved
Annual Number of Responses for this IC	4	0	4
Annual IC Time Burden (Hours)	16	0	16
Annual IC Cost Burden (Dollars)	370	-18	388

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.