Information Collection

Written Requests (Certificate of Good Standing, Disciplinary History)

IC 181416 under ICR 202411-0651-007 · OMB 0651-0012.

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Information Collection (IC) Details

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IC Title:	Written Requests (Certificate of Good Standing, Disciplinary History)	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 11.11

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: Attorneys and Agents Registered to Practice Before the Office	FR Citation: 78 FR 16839

Number of Respondents: 2,057	Number of Respondents for Small Entity: 2,057

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 99 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	3,578	0	3,578
Annual IC Time Burden (Hours)	286	0	286
Annual IC Cost Burden (Dollars)	13,173	825	12,348

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