Information Collection

G246: Pro Se Education and Customer Service Feedback

IC 220200 under ICR 201705-0651-002 · OMB 0651-0080.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

IC Title:

G246: Pro Se Education and Customer Service Feedback

Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

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 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 %

table that charts list of burden
	Requested	Previously Approved
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

table that charts IC Documents
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.