G246: Pro Se Education and Customer Service Feedback

Clearance for the Collection of Qualitative Feedback

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0651-0080 can be found here:

Documents and Forms

Document Name Document Type
Form G246 G246: Pro Se Education and Customer Service Feedback Form and Instruction
G246 Pro Se Feedback Questions G246 Pro Se Feedback Questions.pdf Form and Instruction
G246 - Pro Se Submission Request Feb 2016.docx G246 Pro Se Submission Request IC Document

Information Collection (IC) Details

IC Title:	G246: Pro Se Education and Customer Service Feedback	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	G246	Pro Se Feedback Questions	G246 Pro Se Feedback Questions.pdf		Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Intellectual Property Protection

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,000	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: 95 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,000	1,000
Annual IC Time Burden (Hours)	250	250
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
G246 Pro Se Submission Request	G246 - Pro Se Submission Request Feb 2016.docx	02/22/2016

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