Request for Green Technolgy Pilot Program

Green Technology Pilot Program

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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 sb0420[1].pdf www.uspto.gov/forms/sb420.pdf Form and Instruction
0651 Emergency ICR Green Tech.pdf Request for Emergency Clearance IC Document

Information Collection (IC) Details

IC Title:	Request for Green Technolgy Pilot Program	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 37 CFR 1.102

Information Collection 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	sb0420[1].pdf	www.uspto.gov/forms/sb420.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: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	5,000	0	0	5,000
Annual IC Time Burden (Hours)	5,000	0	-500	5,500
Annual IC Cost Burden (Dollars)	15,000	15,000	0	0

Documents for IC

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.