Information Collection

Petition for Changing Scope of License

IC 180064 under ICR 202512-0651-006 · OMB 0651-0034.

Documents and Forms

Document Name Document Type
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 Changing Scope of 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 1.17(g) 37 CFR 5.11-15 37 CFR 5.18-20 37 CFR 5.25

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: PAT-TM-13: Petitioners for License to File for Foreign Patents	FR Citation: 78 FR 19463

Number of Respondents: 1	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 99 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1	-2	3
Annual IC Time Burden (Hours)	1	-1	2
Annual IC Cost Burden (Dollars)	376	0	376

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.

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