View Information Collection (IC)

View Information Collection (IC)

IC Title:	Applicant Initiated Interview Request Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 37 CFR 1.133

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	PTOL-413A	Applicant Initiated Interview Request Form	PTOL413A_(07-02-10).pdf	http://www.uspto.gov/web/forms/PTOL413A.pdf	Yes	No	Printable Only
Instruction			Instruction_Sheet_for_PTOL-413A_(07-02-10).pdf	www.uspto.gov/web/.forms/PTOL413A.pdf	Yes	No	Printable Only

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: 1,600	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: 0 %

	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	1,600	0	0	0	0	1,600
Annual IC Time Burden (Hours)	640	0	0	0	0	640
Annual IC Cost Burden (Dollars)	928	0	0	0	0	928

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.