Information Collection

Change of Address (electronic submission)

IC 192953 under ICR 201404-0651-004 · 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⚠️ Notice: This information collection may be referencing outdated material.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
Change_Of_Address_FINAL.pdf www.uspto.gov/ip/boards/oed/practitioner/prct-inf.jsp	Other-Change of Address Notification
0651-0012-CWSNewForms-Jul2013 Final.doc Justification for Nonmaterial/Nonsubstantive Change	IC Document

IC Title:

Change of Address (electronic submission)

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 11.5-11.14

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
Other-Change of Address Notification			Change_Of_Address_FINAL.pdf	http://www.uspto.gov/ip/boards/oed/practitioner/prct-inf.jsp	Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Intellectual Property Protection

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4,200

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	4,200	4,200
Annual IC Time Burden (Hours)	126	126
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Justification for Nonmaterial/Nonsubstantive Change	0651-0012-CWSNewForms-Jul2013 Final.doc	07/11/2013

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