Information Collection

Request for Customer Number Data Change

IC 186501 under ICR 201801-0651-002 · OMB 0651-0035.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form PTO/SB/124 Request for Customer Number Data Change	Form
PTO/SB/124 Request for Customer Number Data Change sb0124-fill.pdf www.uspto.gov/web/forms/sb0124-fill.pdf	Form

IC Title:

Request for Customer Number Data Change

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 1.32 and 1.33

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/SB/124	Request for Customer Number Data Change	sb0124-fill.pdf	http://www.uspto.gov/web/forms/sb0124-fill.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: 1,600

Number of Respondents for Small Entity: 550

Affected Public: Private Sector

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

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	1,600	-400	2,000
Annual IC Time Burden (Hours)	320	-80	400
Annual IC Cost Burden (Dollars)	16	-160	176

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.