Information Collection

Patent License Application (Individuals)

IC 180941 under ICR 201101-0518-002 · OMB 0518-0003.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0518-0003 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form AD-761 Patent License Application (Individuals)	Form and Instruction
AD-761 Patent License Application for Government Invention AD-761.pdf	Form and Instruction

IC Title:

Patent License Application (Individuals)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

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	AD-761	Patent License Application for Government Invention	AD-761.pdf		No		Paper Only

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 10

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	10	7	3
Annual IC Time Burden (Hours)	30	21	9
Annual IC Cost Burden (Dollars)	0	0	0

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.