Information Collection

Applicant Initiated Interview Request Form (Individuals And Households)

IC 205480 under ICR 202011-0651-001 · OMB 0651-0031.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0651-0031 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form PTOL/413A Applicant Initiated Interview Request Form (Individuals And Households)	Form and Instruction
PTOL/413A Applicant-Initiated Interview Request Form PTOL413A.pdf www.uspto.gov/sites/default/files/documents/PTOL413A.pdf	Form and Instruction
PTOL/413A Applicant-Initiated Interview Request Form PTOL413A.pdf www.uspto.gov/sites/default/files/documents/PTOL413A.pdf	Form and Instruction

IC Title:

Applicant Initiated Interview Request Form (Individuals And Households)

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 1.321

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 and Instruction	PTOL/413A	Applicant-Initiated Interview Request Form	PTOL413A.pdf	https://www.uspto.gov/sites/default/files/documents/PTOL413A.pdf	Yes	Yes	Fillable Printable

Line of Business: Economic Development

Subfunction: Intellectual Property Protection

Privacy Act System of Records

Title: Patent Application Files

FR Citation: 78 FR 19243

Number of Respondents: 945

Number of Respondents for Small Entity: 500

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	945	-1,055	2,000
Annual IC Time Burden (Hours)	378	-122	500
Annual IC Cost Burden (Dollars)	28,175	-292,732	320,907

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.