Information Collection

EFS-Web Petitions (corresponding to the fee) under 37 CFR 1.17(g)

IC 197778 under ICR 201709-0651-002 · OMB 0651-0059.

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Information Collection (IC) Details

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IC Title:	EFS-Web Petitions (corresponding to the fee) under 37 CFR 1.17(g)	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 1.17(g) 37 CFR 1.59 37 CFR 1.14 37 CFR 1.12 37 CFR 1.102

Information Collection 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: 5,000	Number of Respondents for Small Entity: 1,300

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	5,000	2,000	3,000
Annual IC Time Burden (Hours)	10,000	4,000	6,000
Annual IC Cost Burden (Dollars)	0	0	0

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