PTAB Applicant Intake Form

Patent and PTAB Pro Bono Programs

Documents and Forms

Document Name Document Type
Form USPTO/553 PTAB Applicant Intake Form Form
USPTO/553 PTAB Applicant Intake Form 0651-0082 USPT553 PTAB Applicant Intake Form.pdf Form
USPTO/553 PTAB Applicant Intake Form 0651-0082 USPT553 PTAB Applicant Intake Form.pdf Form

Information Collection (IC) Details

IC Title:	PTAB Applicant Intake Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	USPTO/553	PTAB Applicant Intake Form	0651-0082 USPT553 PTAB Applicant Intake Form.pdf		Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Intellectual Property Protection

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 40	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	40	40
Annual IC Time Burden (Hours)	7	7
Annual IC Cost Burden (Dollars)	1,300	1,300

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.