Request for Customer Number

Representative and Address Provisions

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0651-0035 can be found here:

Documents and Forms

Document Name Document Type
Form PTO/SB/125 Request for Customer Number Form
PTO/SB/125 Request for Customer Number sb0125_fill.pdf www.uspto.gov/web/forms/sb0125_fill.pdf Form

Information Collection (IC) Details

IC Title:	Request for Customer Number	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 1.32 and 1.33

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	PTO/SB/125	Request for Customer Number	sb0125_fill.pdf	http://www.uspto.gov/web/forms/sb0125_fill.pdf	Yes	Yes	Fillable Fileable Signable

Line of Business: Economic Development

Subfunction: Intellectual Property Protection

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 9,000	Number of Respondents for Small Entity: 2,500

Affected Public: Private Sector	Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 90 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	9,000	1,900	7,100
Annual IC Time Burden (Hours)	1,800	380	1,420
Annual IC Cost Burden (Dollars)	792	167	625

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.