Information Collection

Patent License Report

IC 27950 under ICR 200612-2700-005 · OMB 2700-0010.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2700-0010 can be found here:

Documents and Forms

Document Name Document Type
E6-16855.pdf Agency Federal Register Notice IC Document
83-I 2700-0010.pdf Submission Form IC Document
Supporting Statment 2700-0010.doc Supporting Statement IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Patent License Report	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 404.5

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: General Science and Innovation

Subfunction: Space Exploration and Innovation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 90	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Previously Approved
Annual Number of Responses for this IC	90	90
Annual IC Time Burden (Hours)	45	45
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Agency Federal Register Notice	E6-16855.pdf	12/21/2006
Submission Form	83-I 2700-0010.pdf	12/21/2006
Supporting Statement	Supporting Statment 2700-0010.doc	12/29/2006

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