Ombudsman Survey

ICR 201805-0651-001

OMB: 0651-0078

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Unchanged
Supporting Statement B
2018-05-22
Supporting Statement A
2018-05-22
Supplementary Document
2015-02-10
IC Document Collections
IC ID
Document
Title
Status
214956 Unchanged
ICR Details
0651-0078 201805-0651-001
Active 201408-0651-003
DOC/PTO
Ombudsman Survey
Revision of a currently approved collection   No
Regular
Approved without change 08/01/2018
Retrieve Notice of Action (NOA) 05/29/2018
  Inventory as of this Action Requested Previously Approved
08/31/2021 36 Months From Approved 07/31/2018
1,100 0 1,100
92 0 92
0 0 0

Ombudsman Survey is used to perform quality checks and customer satisfaction with the ombudsman program. Data from the USPTO Ombudsman Survey is used to evaluate the effectiveness of Ombudsmen personnel at the Corps level, and also of Ombudsmen personnel within each Technology Center (TC).

None
None

Not associated with rulemaking

  83 FR 11993 03/19/2018
83 FR 24294 05/25/2018
No

1
IC Title Form No. Form Name
Ombudsman Survey none Ombudsman Survey

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 1,100 1,100 0 0 0 0
Annual Time Burden (Hours) 92 92 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$2,680
Yes Part B of Supporting Statement
    No
    No
No
No
No
Uncollected
Martin Rater 571 272-5966 [email protected]

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
05/29/2018


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