Information Collection

Patent Electronic System Verification Form (and Subscriber Agreement)

IC 4770 under ICR 201810-0651-001 · OMB 0651-0045.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
PKI_Subscriber_Agreement__Dec09.pdf www.uspto.gov/patents/process/status/private_pair/PKI_Subscriber_Agreement__Dec09.pdf	Other-Agreement
instructions.pdf www.uspto.gov/ebc/documents/instructions.pdf	Instruction
PTO-2042 Patent Electronic System Verification Form Patent Electronic System Verification Form.docx www.uspto.gov/patents-application-process/applying-online/about-efs-web	Form

IC Title:

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 1.14

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
Other-Agreement			PKI_Subscriber_Agreement__Dec09.pdf	http://www.uspto.gov/patents/process/status/private_pair/PKI_Subscriber_Agreement__Dec09.pdf	Yes	No	Printable Only
Instruction			instructions.pdf	http://www.uspto.gov/ebc/documents/instructions.pdf	Yes	No	Printable Only
Form	PTO-2042	Patent Electronic System Verification Form	Patent Electronic System Verification Form.docx	https://www.uspto.gov/patents-application-process/applying-online/about-efs-web	Yes	Yes	Fillable Fileable Signable

Line of Business: Economic Development

Subfunction: Intellectual Property Protection

Privacy Act System of Records

Title: USPTO PKI Registration and Maintenance System

FR Citation: 80 FR 32

Number of Respondents: 3,825

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

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

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	3,825	3,825
Annual IC Time Burden (Hours)	1,913	1,913
Annual IC Cost Burden (Dollars)	24,824	24,824

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.