Information Collection

Pro Bono Survey

IC 223967 under ICR 202001-0651-011 · OMB 0651-0082.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0651-0082 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form PTO 450 Pro Bono Survey	Form
PTO 450 Pro Bono Survey Pro Bono Survey Form 450.pdf cla.formstack.com/forms/patent_probono_q_reports_rev_11_29_16_copy	Form

IC Title:

Pro Bono Survey

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

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 450	Pro Bono Survey	Pro Bono Survey Form 450.pdf	https://cla.formstack.com/forms/patent_probono_q_reports_rev_11_29_16_copy	Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Intellectual Property Protection

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 22

Number of Respondents for Small Entity: 22

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	88	8	80
Annual IC Time Burden (Hours)	176	16	160
Annual IC Cost Burden (Dollars)	0	0	0

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.