Information Collection

Application For Nonexclusive Patent License, )gc-498a) Exclusive/nonexclusive Patent License For Doe Owned Patents

IC 171414 under ICR 198207-1901-004 · OMB 1901-0232.

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Information Collection (IC) Details

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IC Title:	APPLICATION FOR NONEXCLUSIVE PATENT LICENSE, )GC-498A) EXCLUSIVE/NONEXCLUSIVE PATENT LICENSE FOR DOE OWNED PATENTS	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	GC-498A,	No	No
Form	GC-498B, &	No	No
Form	GC-498C	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 50	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	330	280	50
Annual IC Time Burden (Hours)	166	66	100
Annual IC Cost Burden (Dollars)	0	0	0

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Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.