Information Collection Request

Patent and Trademark Financial Transactions

ICR 201109-0651-002 · OMB 0651-0043 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form PTO-2038 Credit Card Payment Form Form Modified Available
Form PTO-2236 EFT User Profile Form Form Modified Available
Form PTO-2234 Deposit Account Closure Request Form Form Modified Available
Form PTO-2233 Electronic Deposit Account Replenishment Form Form Modified Available
Form PTO-2232 Deposit Account Application Form Form Modified Available
Form PTO-2231 Electronic Credit Card Payment Form Form Modified Available
Financial Profile Form Modified Available
0651-0043-SupStmt-Sep2011.pdf Supporting Statement A Uploaded 2011-09-23 Available
0651-USPTO-Information-Quality-Guidelines-Dec2009.pdf Supplementary Document Uploaded 2011-09-23 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
4764 Credit Card Payment Form Form ModifiedCredit Card Payment Form
187210 Refund Request Modified
187209 EFT User Profile Form Form ModifiedEFT User Profile Form
187208 Deposit Account Closure Request Form Form ModifiedDeposit Account Closure Request Form
187207 Electronic Deposit Account Replenishment Form Form ModifiedElectronic Deposit Account Replenishment Form
187206 Deposit Account Replenishment Modified
187205 Deposit Account Application Form Form ModifiedDeposit Account Application Form
187204 Electronic Credit Card Payment Form Form ModifiedElectronic Credit Card Payment Form
181358 Financial Profiles Form ModifiedFinancial Profile

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
11/30/2014 36 Months From Approved 12/31/2011
1,849,771 0 1,647,133
55,901 0 49,795
141,971 0 276,459





Reginfo record details
9
table that charts list of burden
IC Title Form No. Form Name
Credit Card Payment Form PTO-2038
Deposit Account Application Form PTO-2232
Deposit Account Closure Request Form PTO-2234
Deposit Account Replenishment
EFT User Profile Form PTO-2236
Electronic Credit Card Payment Form PTO-2231
Electronic Deposit Account Replenishment Form PTO-2233
Financial Profiles None
Refund Request

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 1,849,771 1,647,133 0 0 202,638 0
Annual Time Burden (Hours) 55,901 49,795 0 0 6,106 0
Annual Cost Burden (Dollars) 141,971 276,459 0 -135,100 612 0


Reginfo record details
  No