Information Collection

Applicant Initiated Interview Request Form

IC 181613 under ICR 201209-0651-014 · OMB 0651-0031.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0651-0031 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form PTOL-413A Applicant Initiated Interview Request Form	Form
Instruction_Sheet_for_PTOL-413A_(07-02-10).pdf www.uspto.gov/web/.forms/PTOL413A.pdf	Instruction
PTOL-413A Applicant Initiated Interview Request Form PTOL413A_(07-02-10).pdf www.uspto.gov/web/forms/PTOL413A.pdf	Form

IC Title:

Applicant Initiated Interview Request Form

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 37 CFR 1.133

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	PTOL-413A	Applicant Initiated Interview Request Form	PTOL413A_(07-02-10).pdf	http://www.uspto.gov/web/forms/PTOL413A.pdf	Yes	No	Printable Only
Instruction			Instruction_Sheet_for_PTOL-413A_(07-02-10).pdf	www.uspto.gov/web/.forms/PTOL413A.pdf	Yes	No	Printable Only

Line of Business: Economic Development

Subfunction: Intellectual Property Protection

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,600

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

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

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	1,600	1,600
Annual IC Time Burden (Hours)	640	640
Annual IC Cost Burden (Dollars)	928	928

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.