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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Request for Green Technolgy Pilot Program
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
37 CFR 1.102
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
PTO/SB/420
Request For Green Technology Pilot Program
sb0420[1].pdf
www.uspto.gov/forms/sb420.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Economic Development
Subfunction:
Intellectual Property Protection
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
5,000
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:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
5,000
0
0
0
0
5,000
Annual IC Time Burden (Hours)
5,000
0
0
-500
0
5,500
Annual IC Cost Burden (Dollars)
15,000
0
15,000
0
0
0
Documents for IC
Title
Document
Date Uploaded
Request for Emergency Clearance
0651 Emergency ICR Green Tech.pdf
10/14/2009
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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