Pro Se Education and Customer Service

Clearance for the Collection of Qualitative Feedback

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0651-0080 can be found here:

Documents and Forms

Document Name Document Type
ProSe2019_10.pdf Other-Survey
2020 Pro Se Survery Request OMB.docx 2020 Pro Se Survey IC Document
SurveyLetterFY19prose2.docx Pro Se Survey Invite IC Document

Information Collection (IC) Details

IC Title:	Pro Se Education and Customer Service	Agency IC Tracking Number:	G311

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey			ProSe2019_10.pdf		Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Intellectual Property Protection

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 97 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,000	1,000
Annual IC Time Burden (Hours)	167	167
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
2020 Pro Se Survey	2020 Pro Se Survery Request OMB.docx	01/08/2020
Pro Se Survey Invite	SurveyLetterFY19prose2.docx	01/08/2020

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.