Information Collection

Petition to Review Final Refusal to Publish

IC 187773 under ICR 201111-0651-003 · OMB 0651-0036.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Supplementary Document.pdf Burden Adjustment	IC Document

IC Title:

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 1.295

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

Line of Business: Economic Development

Subfunction: Intellectual Property Protection

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

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

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	1	1
Annual IC Time Burden (Hours)	1	1
Annual IC Cost Burden (Dollars)	201	201

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Burden Adjustment	Supplementary Document.pdf	01/12/2009

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.