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Deposit Account Application Form
Patent and Trademark Financial Transactions
OMB: 0651-0043
IC ID: 187205
OMB.report
DOC/PTO
OMB 0651-0043
ICR 201409-0651-001
IC 187205
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0651-0043 can be found here:
2018-01-31 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form PTO-2232
Deposit Account Application Form
Form
PTO-2232 Deposit Account Application Form
depaccapp.pdf
www.uspto.gov/web/offices/ac/comp/fin/depaccapp.htm
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Deposit Account Application Form
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 2.6, 2.208
37 CFR 1.21(b), 1.25
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
PTO-2232
Deposit Account Application Form
depaccapp.pdf
http://www.uspto.gov/web/offices/ac/comp/fin/depaccapp.htm
Yes
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Economic Development
Subfunction:
Intellectual Property Protection
Privacy Act System of Records
Title:
Deposit Accounts and Electronic Funds Transfer Profiles
FR Citation:
71 FR 38387
Number of Respondents:
284
Number of Respondents for Small Entity:
55
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
284
0
0
20
0
264
Annual IC Time Burden (Hours)
9
0
0
1
0
8
Annual IC Cost Burden (Dollars)
2,979
0
0
223
0
2,756
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.