Request for Withdrawal as Attorney or Agent and Change of Correspondence Address

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⚠️ Notice: This information collection may be referencing outdated material.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/83 Request for Withdrawal as Attorney or Agent and Change of Correspondence Address Form
PTO/SB/83 Request for Withdrawal as Attorney or Agent and Change o sb0083.pdf www.uspto.gov/web/forms/sb0083.pdf Form

Information Collection (IC) Details

IC Title:	Request for Withdrawal as Attorney or Agent and Change of Correspondence Address	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 1.36(b)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	PTO/SB/83	Request for Withdrawal as Attorney or Agent and Change of Correspondence Address	sb0083.pdf	http://www.uspto.gov/web/forms/sb0083.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: 4,000	Number of Respondents for Small Entity: 200

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

Percentage of Respondents Reporting Electronically: 98 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	4,000	3,200	800
Annual IC Time Burden (Hours)	800	600	200
Annual IC Cost Burden (Dollars)	39	-31	70

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.