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Request for Customer Number Data Change (Private Sector)
Representative and Address Provisions
OMB: 0651-0035
IC ID: 187263
OMB.report
DOC/PTO
OMB 0651-0035
ICR 202410-0651-013
IC 187263
( )
Documents and Forms
Document Name
Document Type
Form PTO/SB/124
Request for Customer Number Data Change (Private Sector)
Form
PTO/SB/124 Request for Customer Number Data Change
sb0124.pdf
www.uspto.gov/sites/default/files/documents/sb00124.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Request for Customer Number Data Change (Private Sector)
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 1.32
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
PTO/SB/124
Request for Customer Number Data Change
sb0124.pdf
https://www.uspto.gov/sites/default/files/documents/sb00124.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:
1,067
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Not-for-profit institutions, Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
100 %
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
1,067
0
0
0
0
1,067
Annual IC Time Burden (Hours)
213
0
0
0
0
213
Annual IC Cost Burden (Dollars)
4,000
0
0
0
0
4,000
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.