Information Collection

Request to Record an Official Insignia of a Federally Recognized Tribe

IC 4775 under ICR 202605-0651-001 · OMB 0651-0048.

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Information Collection (IC) Details

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IC Title:	Request to Record an Official Insignia of a Federally Recognized Tribe	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 2

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: USPTO-26 Trademark Application and Registration Records	FR Citation: 85 FR 8847

Number of Respondents: 11	Number of Respondents for Small Entity: 4

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 95 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	11	7	4
Annual IC Time Burden (Hours)	11	7	4
Annual IC Cost Burden (Dollars)	12	2	10

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