Information Collection

Petition to Cancel

IC 37421 under ICR 201011-0651-001 · OMB 0651-0040.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0651-0040 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
cancellationformat.pdf	Other-Suggested Format

IC Title:

Petition to Cancel

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 37 CFR 2.111 and 2.112

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
Other-Suggested Format					No		Paper Only

Line of Business: Economic Development

Subfunction: Intellectual Property Protection

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 88

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: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	88	-262	350
Annual IC Time Burden (Hours)	44	-219	263
Annual IC Cost Burden (Dollars)	26,602	-79,132	105,734

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].