Information Collection

Delinquency Fee for Annual Fee

IC 182136 under ICR 201305-0651-001 · OMB 0651-0012.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0651-0012 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form PTO-2126 Delinquency Fee for Annual Fee	Form
PTO-2126 Annual Practitioner Registration Fee Regist Fee.pdf	Form

IC Title:

Delinquency Fee for Annual Fee

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 11.8

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	PTO-2126	Annual Practitioner Registration Fee	Regist Fee.pdf		No		Paper Only

Line of Business: Economic Development

Subfunction: Intellectual Property Protection

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,100

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	2,100	0	2,100
Annual IC Time Burden (Hours)	357	0	357
Annual IC Cost Burden (Dollars)	924	-105,000	105,924

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.