Information Collection

Request for First-Action Interview (Pilot Program)

IC 180801 under ICR 200706-0651-004 · OMB 0651-0031.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0651-0031 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form PTOL-413C Request for First-Action Interview (Pilot Program)	Form and Instruction
PTOL-413C Request for First-Action Interview (Pilot Program) PTOL-413C.pdf	Form and Instruction
CWS First-Action Interview Form.doc Change Worksheet for0651-0031	IC Document

IC Title:

Request for First-Action Interview (Pilot Program)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	PTOL-413C	Request for First-Action Interview (Pilot Program)	PTOL-413C.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: Economic Development

Subfunction: Intellectual Property Protection

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,000	1,000
Annual IC Time Burden (Hours)	2,500	2,500
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Change Worksheet for0651-0031	CWS First-Action Interview Form.doc	06/20/2007

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