Information Collection

Deposit Account Closure Request Form

IC 187208 under ICR 201801-0651-001 · OMB 0651-0043.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form PTO-2234 Deposit Account Closure Request Form Deposit Account Closure Request Form	Form
PTO-2234 Deposit Account Closure Request Form DA Closure Request Form.pdf	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Removed

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 37 CFR 2.208 37 CFR 1.25

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	PTO-2234	Deposit Account Closure Request Form	DA Closure Request Form.pdf		No		Paper Only

Line of Business: Economic Development

Subfunction: Intellectual Property Protection

Privacy Act System of Records

Title: Deposit Accounts and Electronic Funds Transfer Profiles

FR Citation: 71 FR 38387

Number of Respondents: 162

Number of Respondents for Small Entity: 41

Affected Public: Private Sector

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

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	-162	162
Annual IC Time Burden (Hours)	-3	3
Annual IC Cost Burden (Dollars)	-79	79

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.