Information Collection

Request for Green Technolgy Pilot Program

IC 190967 under ICR 200910-0651-003 · OMB 0651-0062.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0651-0062 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form PTO/SB/420 Request for Green Technolgy Pilot Program	Form and Instruction
PTO/SB/420 Request For Green Technology Pilot Program PTOSB420 draft Req for Green Tech Pilot form.pdf	Form and Instruction
0651 Emergency ICR Green Tech.pdf Request for Emergency Clearance	IC Document

IC Title:

Request for Green Technolgy Pilot Program

Agency IC Tracking Number:

Is this a Common Form? Yes

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 37 CFR 1.102

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	PTO/SB/420	Request For Green Technology Pilot Program	PTOSB420 draft Req for Green Tech Pilot form.pdf		Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Intellectual Property Protection

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 5,000

Number of Respondents for Small Entity: 2,000

Affected Public: Private Sector

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

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	5,000	5,000
Annual IC Time Burden (Hours)	5,500	5,500
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Request for Emergency Clearance	0651 Emergency ICR Green Tech.pdf	10/14/2009

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