Disclosure Document Program

ICR 200201-0651-001

OMB: 0651-0030

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
4705 Migrated
ICR Details
0651-0030 200201-0651-001
Historical Active 199902-0651-002
DOC/PTO
Disclosure Document Program
Extension without change of a currently approved collection   No
Regular
Approved without change 03/18/2002
Retrieve Notice of Action (NOA) 01/08/2002
  Inventory as of this Action Requested Previously Approved
07/31/2005 07/31/2005 05/31/2002
20,250 0 27,000
4,050 0 5,400
203,000 0 0

The Disclosure Document Program allows inventors to submit papers to the USPTO that provide evidence of the date of conception of an invention. The disclosure document papers will be retained by the USPTO for two years, during which time the inventor(s) should file a patent application if patent protection is desired. The USPTO uses this form to establish the date of conception for an invention and to assign an identifying number to the Disclosure Document Deposit Request. The primary respondents to this information collection are individuals or households but the USPTO also believes that business or other for profit, not-for-

None
None


No

1
IC Title Form No. Form Name
Disclosure Document Program PTO/SB/95

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 20,250 27,000 0 0 -6,750 0
Annual Time Burden (Hours) 4,050 5,400 0 0 -1,350 0
Annual Cost Burden (Dollars) 203,000 0 0 0 203,000 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
01/08/2002


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