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Request for Withdrawal as Attorney or Agent and Change of Correspondence Address (Individuals or Households)
Representative and Address Provisions
OMB: 0651-0035
IC ID: 187259
OMB.report
DOC/PTO
OMB 0651-0035
ICR 202410-0651-013
IC 187259
( )
Documents and Forms
Document Name
Document Type
Form PTO/AIA/83
Request for Withdrawal as Attorney or Agent and Change of Correspondence Address (Individuals or Households)
Form
PTO/AIA/83 Request for Withdrawal as Attorney or Agent and Change o
aia0083.pdf
www.uspto.gov/sites/default/files/documents/aia0083.pdf
Form
PTO/SB/83 Request for Withdrawal as Attorney or Agent and Change o
sb0083.pdf
www.uspto.gov/sites/default/files/documents/sb0083.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Request for Withdrawal as Attorney or Agent and Change of Correspondence Address (Individuals or Households)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Unchanged
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/AIA/83
Request for Withdrawal as Attorney or Agent and Change of Correspondence Address
aia0083.pdf
https://www.uspto.gov/sites/default/files/documents/aia0083.pdf
Yes
Yes
Fillable Fileable Signable
Form
PTO/SB/83
Request for Withdrawal as Attorney or Agent and Change of Correspondence Address
sb0083.pdf
https://www.uspto.gov/sites/default/files/documents/sb0083.pdf
Yes
Yes
Fillable Fileable Signable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Economic Development
Subfunction:
Intellectual Property Protection
Privacy Act System of Records
Title:
Patent Application Files
FR Citation:
78 FR 19243
Number of Respondents:
66
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
66 %
Requested
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
105
0
0
0
0
105
Annual IC Time Burden (Hours)
53
0
0
0
0
53
Annual IC Cost Burden (Dollars)
0
0
0
0
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.
