Information Collection Request

Patent and Trademark Financial Transactions

ICR 201409-0651-001 · OMB 0651-0043 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form PTO-2038 Credit Card Payment Form Form Modified Available
Form PTO-2236 EFT User Profile Form Form Modified Available
Form PTO-2234 Deposit Account Closure Request Form Form Modified Available
Form PTO-2233 Electronic Deposit Account Replenishment Form Form Modified Available
Form PTO-2232 Deposit Account Application Form Form Modified Available
Form PTO-2231 Electronic Credit Card Payment Form Form Modified Repair queued
Financial Profiles Form Modified Repair queued
0651-0043-SupStmt-November.doc Supporting Statement A Uploaded 2014-11-26 Available
0651-USPTO-Information-Quality-Guidelines-Dec2009.pdf Supplementary Document Uploaded 2011-09-23 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
4764 Credit Card Payment Form Form Modified
214068 Deposit Account Withdrawal Request New
187210 Refund Request Modified
187209 EFT User Profile Form Form Modified
187208 Deposit Account Closure Request Form Form Modified
187207 Electronic Deposit Account Replenishment Form Form Modified
187206 Deposit Account Replenishment Modified
187205 Deposit Account Application Form Form Modified
187204 Electronic Credit Card Payment Form Form Modified
181358 Financial Profiles Form Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
01/31/2018 36 Months From Approved 01/31/2015
2,590,950 0 1,849,771
86,258 0 55,901
129,937 0 141,971





table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 2,590,950 1,849,771 0 33 741,146 0
Annual Time Burden (Hours) 86,258 55,901 0 1 30,356 0
Annual Cost Burden (Dollars) 129,937 141,971 0 0 -12,034 0


Reginfo record details
  No