Information Collection

PCT/Model of Power of Attorney

IC 191397 under ICR 200911-0651-001 · OMB 0651-0021.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0651-0021 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
ed_power.pdf Model of Power of Attorney	IC Document

IC Title:

PCT/Model of Power of Attorney

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 1.455

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

Line of Business: Economic Development

Subfunction: Intellectual Property Protection

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 5,353

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: 85 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	5,353	0	5,353
Annual IC Time Burden (Hours)	1,338	0	1,338
Annual IC Cost Burden (Dollars)	853	-8,397	9,250

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Model of Power of Attorney	ed_power.pdf	02/23/2010

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