Information Collection

PCT/Model of General Power of Attorney

IC 191398 under ICR 201603-0651-003 · OMB 0651-0021.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0651-0021 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
ed_genpower.pdf Model of General Power of Attorney	IC Document

IC Title:

PCT/Model of General Power of Attorney

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 1.455

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

Line of Business: Economic Development

Subfunction: Intellectual Property Protection

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 282

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: 98 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	282	-201	483
Annual IC Time Burden (Hours)	71	-50	121
Annual IC Cost Burden (Dollars)	29,110	29,099	11

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Model of General Power of Attorney	ed_genpower.pdf	04/23/2013

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