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 Repair queued
Financial Profiles 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 Modified
187210 Refund Request Modified
187209 EFT User Profile Form Form Modified
187208 Deposit Account Closure Request Form Form Modified
187207 Electronic Deposit Account Replenishment Form Form Modified
187206 Deposit Account Replenishment Modified
187205 Deposit Account Application Form Form Modified
187204 Electronic Credit Card Payment Form Form Modified
181358 Financial Profiles Form Modified

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





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