Deposit Account Closure Request Form

Patent and Trademark Financial Transactions

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0651-0043 can be found here:

Documents and Forms

Document Name Document Type
Form PTO-2234 Deposit Account Closure Request Form Form
PTO-2234 Deposit Account Closure Request Form DA Closure Request Form.pdf Form

Information Collection (IC) Details

IC Title:	Deposit Account Closure Request Form	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 1.25 37 CFR 2.208

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	PTO-2234	Deposit Account Closure Request Form	DA Closure Request Form.pdf		No		Paper Only

Line of Business: Economic Development

Subfunction: Intellectual Property Protection

Privacy Act System of Records
Title: Deposit Accounts and Electronic Funds Transfer Profiles	FR Citation: 71 FR 38387

Number of Respondents: 207	Number of Respondents for Small Entity: 41

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	207	39	168
Annual IC Time Burden (Hours)	14	2	12
Annual IC Cost Burden (Dollars)	91	20	71

Documents for IC

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.