Information Collection

Request for Green Technolgy Pilot Program

IC 190967 under ICR 201005-0651-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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 sb0420[1].pdf www.uspto.gov/forms/sb420.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? No

IC Status: Modified

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	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 %

table that charts list of burden
	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

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.