Information Collection

Fee Address Indication Form

IC 187818 under ICR 200901-0651-004 · OMB 0651-0016.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0651-0016 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form PTO/SB/47 Fee Address Indication Form Fee Address Indication Form	Form
PTO/SB/47 Fee Address Indication Form sb0047-fill.pdf www.uspto.gov/web/forms/sb0047-fill.pdf	Form

IC Title:

ÂFee AddressÂ Indication Form

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 37 CFR 1.33(d) and 1.363

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	PTO/SB/47			http://www.uspto.gov/web/forms/sb0047-fill.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: 126,837

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: 60 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	126,837	126,837
Annual IC Time Burden (Hours)	10,147	10,147
Annual IC Cost Burden (Dollars)	28,919	28,919

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].