Representative and Address Provisions

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0651-0035 can be found here:

Documents and Forms

Document Name Document Type

no available documents/forms check other ICs listed under this ICR

Information Collection (IC) Details

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IC Title:	Representative and Address Provisions	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	PTO/SB/80	No	No
Form	PTO/SB/125B	No	No
Form	PTO/SB/82	No	No
Form	PTP/SB/125A	No	No
Form	PTO/SB/124B	No	No
Form	PTO/SB/81	No	No
Form	PTO/SB/83	No	No
Form	PTO/SB/122	No	No
Form	PTO/SB/124A	No	No
Form	PTO/SB/123	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 355,005	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	355,005	16,725	338,280
Annual IC Time Burden (Hours)	30,088	-1,171	31,259
Annual IC Cost Burden (Dollars)	179,000	9,000	170,000

Documents for IC

Title	Document	Date Uploaded

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