Information Collection

Deposit Account Application Form

IC 187205 under ICR 201409-0651-001 · OMB 0651-0043.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0651-0043 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form PTO-2232 Deposit Account Application Form	Form
PTO-2232 Deposit Account Application Form depaccapp.pdf www.uspto.gov/web/offices/ac/comp/fin/depaccapp.htm	Form

IC Title:

Deposit Account Application Form

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 2.6, 2.208 37 CFR 1.21(b), 1.25

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-2232	Deposit Account Application Form	depaccapp.pdf	http://www.uspto.gov/web/offices/ac/comp/fin/depaccapp.htm	Yes	No	Fillable Printable

Line of Business: Economic Development

Subfunction: Intellectual Property Protection

Privacy Act System of Records

Title: Deposit Accounts and Electronic Funds Transfer Profiles

FR Citation: 71 FR 38387

Number of Respondents: 284

Number of Respondents for Small Entity: 55

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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	284	20	264
Annual IC Time Burden (Hours)	9	1	8
Annual IC Cost Burden (Dollars)	2,979	223	2,756

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.