Information Collection

G319: vILT Bundle - Individuals or Households

IC 249043 under ICR 202106-0651-004 · OMB 0651-0080.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
vILT_Interest Request.docx	Other-Interest Request
vILT_Interest Request.docx	Other-Interest Request
vILT_Patent_Alert_for_Open_Registration_Notice.docx	Instruction
vILT_Patent_Alert_for_Open_Registration_Notice.docx	Instruction
ViltEval2021c.pdf www.surveymonkey.com/r/vILT_Evaluation	Other-Survey
ViltEval2021c.pdf www.surveymonkey.com/r/vILT_Evaluation	Other-Survey
ViltNeedsAssessment.pdf	Other-Needs Assessment
ViltNeedsAssessment.pdf	Other-Needs Assessment
G319 vILT Survey Email.docx	Other-Survey Email
G319 vILT Survey Email.docx	Other-Survey Email
G319 vILT 3 part Submission Request Final.docx G319: vILT Bundle Submission Request	IC Document
G319 vILT 3 part Submission Request Final.docx G319: vILT Bundle Submission Request	IC Document

IC Title:

G319: vILT Bundle - Individuals or Households

Agency IC Tracking Number:

G319

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Interest Request	vILT_Interest Request.docx		Yes	Yes	Fillable Fileable
Instruction	vILT_Patent_Alert_for_Open_Registration_Notice.docx		Yes	Yes	Fillable Fileable
Other-Survey	ViltEval2021c.pdf	https://www.surveymonkey.com/r/vILT_Evaluation	Yes	Yes	Fillable Fileable
Other-Needs Assessment	ViltNeedsAssessment.pdf		Yes	Yes	Fillable Fileable
Other-Survey Email	G319 vILT Survey Email.docx		Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Intellectual Property Protection

Privacy Act System of Records

Title: PAT/TMâ23, User Access for Web Portals and Information Requests

FR Citation: 74 FR 11919

Number of Respondents: 2,940

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,940	2,940
Annual IC Time Burden (Hours)	235	235
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
G319: vILT Bundle Submission Request	G319 vILT 3 part Submission Request Final.docx	09/21/2021

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