Request for Withdrawal as Attorney or Agent and Change of Correspondence Address

Representative and Address Provisions

OMB: 0651-0035

IC ID: 186496

Information Collection (IC) Details

View Information Collection (IC)

Request for Withdrawal as Attorney or Agent and Change of Correspondence Address
 
No Modified
 
Required to Obtain or Retain Benefits
 
37 CFR 1.36(b)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form PTO/SB/83 Request for Withdrawal as Attorney or Agent and Change of Correspondence Address sb0083.pdf http://www.uspto.gov/web/forms/sb0083.pdf Yes Yes Fillable Fileable Signable

Economic Development Intellectual Property Protection

 

4,000 200
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   98 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 4,000 0 0 3,200 0 800
Annual IC Time Burden (Hours) 800 0 0 600 0 200
Annual IC Cost Burden (Dollars) 39 0 0 -31 0 70

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