Regional Program Administrator Survey

Pro Bono Survey

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0651-0082 can be found here:

Documents and Forms

Document Name Document Type
Regional Program Administrator Survey Form
Regional Program Administrator Survey Patent Pro Bono Survey Questions.docx Form

Information Collection (IC) Details

IC Title:	Regional Program Administrator Survey	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	N/A	Regional Program Administrator Survey	Patent Pro Bono Survey Questions.docx		Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Intellectual Property Protection

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 20	Number of Respondents for Small Entity: 20

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	80	80
Annual IC Time Burden (Hours)	160	160
Annual IC Cost Burden (Dollars)	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.