Information Collection

Legal Collections Package

IC 23387 under ICR 201710-1910-001 · OMB 1910-0800.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1910-0800 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Advance Waiver Petition_FINAL.pdf	Other-Application
ExclusiveLicApp_FINAL.pdf	Other-Application
NonexclLicApp_FINAL.pdf	Other-Application
Waiver Petition_FINAL.pdf	Other-Application
DOE F 2000.4 Patents Record of Invention DOE F 2000.4 FINAL 180509.pdf	Form and Instruction
DOE F 2050.11 Invention Certification For Federal Award Invention Certification.pdf	Form and Instruction

IC Title:

Legal Collections Package

Agency IC Tracking Number:

Robert Marchick (GC)

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Application			Advance Waiver Petition_FINAL.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 2000.4	Patents Record of Invention	DOE F 2000.4 FINAL 180509.pdf	Yes	Yes	Printable Only
Other-Application			ExclusiveLicApp_FINAL.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 2050.11	Invention Certification For Federal Award	Invention Certification.pdf	Yes	Yes	Fillable Printable
Other-Application			NonexclLicApp_FINAL.pdf	Yes	Yes	Fillable Fileable
Other-Application			Waiver Petition_FINAL.pdf	Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,700

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	2,040	708	1,332
Annual IC Time Burden (Hours)	13,260	2,979	10,281
Annual IC Cost Burden (Dollars)	994,500	994,500	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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