Information Collection Request

Patent and Trademark Financial Transactions

ICR 200811-0651-002 · OMB 0651-0043 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form PTO-2038 Credit Card Payment Form Form Modified Available
Form PTO-2236 EFT User Profile Form Form New Available
Form PTO-2234 Deposit Account Closure Request Form Form New Available
Form PTO-2233 Electronic Deposit Account Replenishment Form Form New Available
Form PTO-2232 Deposit Account Application Form Form New Available
Form PTO-2231 Electronic Credit Card Payment Form Form New Available
0043-JustStmt-final.pdf Supporting Statement A Uploaded 2008-11-13 Available
USPTO-infoqualityguide-092008.pdf Supplementary Document Uploaded 2008-11-13 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
4764 Credit Card Payment Form Form ModifiedCredit Card Payment Form
187210 Refund Request New
187209 EFT User Profile Form Form NewEFT User Profile Form
187208 Deposit Account Closure Request Form Form NewDeposit Account Closure Request Form
187207 Electronic Deposit Account Replenishment Form Form NewElectronic Deposit Account Replenishment Form
187206 Deposit Account Replenishment New
187205 Deposit Account Application Form Form NewDeposit Account Application Form
187204 Electronic Credit Card Payment Form Form NewElectronic Credit Card Payment Form
181358 Financial Profiles Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
12/31/2011 36 Months From Approved 02/28/2009
1,647,133 0 1,929,205
49,795 0 58,166
276,459 0 237,000





Reginfo record details
9
table that charts list of burden
IC Title Form No. Form Name
Credit Card Payment Form PTO-2038
Deposit Account Application Form PTO-2232
Deposit Account Closure Request Form PTO-2234
Deposit Account Replenishment
EFT User Profile Form PTO-2236
Electronic Credit Card Payment Form PTO-2231
Electronic Deposit Account Replenishment Form PTO-2233
Financial Profiles
Refund Request

table that charts list of burden
  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 1,647,133 1,929,205 0 0 -282,072 0
Annual Time Burden (Hours) 49,795 58,166 0 0 -8,371 0
Annual Cost Burden (Dollars) 276,459 237,000 0 0 39,459 0


Reginfo record details
  No