View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	Pro Bono Patent Program Quarterly Metric Reporting Questionnaire	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	NA	Pro Bono Patent Program Quarterly Metric Reporting Quesstionnaire	0690-0039 PTO Pro Bono Patent Prog. Survey1-13-15.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: 16	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	64	0	64	0	0	0
Annual IC Time Burden (Hours)	64	0	64	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Pro Bono Program Quarterly Metric Reporting Questionnaire	0030_Fast Track Request_Pro Bono Program_final_DOC (4).docx	01/23/2015

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