View Information Collection (IC)

View Information Collection (IC)

IC Title:	Transmittal Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 37 CFR 1.4 37 CFR 1.5 37 CFR 1.48 37 CFR 1.111 37 CFR 1.116 37 CFR 1.121 37 CFR 1.125 37 CFR 1.133 37 CFR 1.201

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/21	Transmittal Form	sb0021 Transmittal Form.pdf	http://www.uspto.gov/web/forms/sb0021.pdf	Yes	Yes	Fillable Fileable Signable

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: 77,000	Number of Respondents for Small Entity: 20,020

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	77,000	0	0	77,000	0	0
Annual IC Time Burden (Hours)	154,000	0	0	154,000	0	0
Annual IC Cost Burden (Dollars)	100,100	0	0	100,100	0	0

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.