Information Collection

Credit Card Payment Form

IC 4764 under ICR 201801-0651-001 · OMB 0651-0043.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form PTO-2038 Credit Card Payment Form	Form
PTO-2038 Credit Card Payment Form 2038-fill.pdf www.uspto.gov/forms/2038-fill.pdf	Form

IC Title:

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 2.207(b) 37 CFR 1.23(b)

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-2038	Credit Card Payment Form	2038-fill.pdf	http://www.uspto.gov/forms/2038-fill.pdf	Yes	No	Fillable Printable

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: 83,329

Number of Respondents for Small Entity: 16,666

Affected Public: Private Sector

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

Percentage of Respondents Reporting Electronically: 98 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	83,329	-19,786	103,115
Annual IC Time Burden (Hours)	2,778	-659	3,437
Annual IC Cost Burden (Dollars)	2,041	-4,197	6,238

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.