PCT/Model of Power of Attorney

Patent Cooperation Treaty

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0651-0021 can be found here:

Documents and Forms

Document Name Document Type
ed_power.pdf Model of Power of Attorney IC Document

Information Collection (IC) Details

IC Title:	PCT/Model of Power of Attorney	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 1.455

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Economic Development

Subfunction: Intellectual Property Protection

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 5,518	Number of Respondents for Small Entity: 0

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	5,518	2,694	2,824
Annual IC Time Burden (Hours)	1,380	674	706
Annual IC Cost Burden (Dollars)	22	-289,438	289,460

Documents for IC

Title	Document	Date Uploaded
Model of Power of Attorney	ed_power.pdf	04/23/2013

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