Information Collection

Revocation of Attorney/Domestic Representative and/or Appointment of Attorney/Domestic Representative (Paper)

IC 4784 under ICR 201708-0651-003 · OMB 0651-0056.

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Information Collection (IC) Details

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IC Title:

Revocation of Attorney/Domestic Representative and/or Appointment of Attorney/Domestic Representative (Paper)

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 Part 2, 2.24 37 CFR Part 2, 2.19 37 CFR Part 2, 2.17 37 CFR Part 2, 2.193 (To search for a specific CFR, visit the Code of Federal Regulations.)

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

Federal Enterprise Architecture Business Reference Module

Line of Business: Economic Development

Subfunction: Intellectual Property Protection

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 150

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

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	150	-4,600	4,750
Annual IC Time Burden (Hours)	26	-766	792
Annual IC Cost Burden (Dollars)	74	-2,254	2,328

Documents for IC

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

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