Authorization to Act in a Representative Capacity

Representative and Address Provisions

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0651-0035 can be found here:

Documents and Forms

Document Name Document Type
Form PTO/SB/84 Authorization to Act in a Representative Capacity Form
PTO/SB/84 Authorization to Act in a Representative Capacity sb0084.pdf www.uspto.gov/web/forms/sb0084.pdf Form

Information Collection (IC) Details

IC Title:	Authorization to Act in a Representative Capacity	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 1.31, 1.32, 1.34

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	PTO/SB/84	Authorization to Act in a Representative Capacity	sb0084.pdf	http://www.uspto.gov/web/forms/sb0084.pdf	Yes	Yes	Fillable Fileable Signable

Line of Business: Economic Development

Subfunction: Intellectual Property Protection

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 750	Number of Respondents for Small Entity: 350

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

Percentage of Respondents Reporting Electronically: 98 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	750	-250	1,000
Annual IC Time Burden (Hours)	38	-212	250
Annual IC Cost Burden (Dollars)	7	-81	88

Documents for IC

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.