Information Collection

G324: Small Business Success Stories

IC 249530 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⚠️ Notice: This information collection may be referencing outdated material.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
G324 USPTO Small Business Success 2021.pdf	Other-Questionnaire
G324 USPTO Small Business Success 2021.pdf	Other-Questionnaire
G324 OMB Fastrack Small Business Success Stories Submission Request.docx G324 Small Business Success Stories Submission Request	IC Document
G324 OMB Fastrack Small Business Success Stories Submission Request.docx G324 Small Business Success Stories Submission Request	IC Document

IC Title:

G324: Small Business Success Stories

Agency IC Tracking Number:

G324

IC Status: New

Obligation to Respond: Voluntary

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
Other-Questionnaire			G324 USPTO Small Business Success 2021.pdf		Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Intellectual Property Protection

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 25

Number of Respondents for Small Entity: 25

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

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	25	25
Annual IC Time Burden (Hours)	8	8
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
G324 Small Business Success Stories Submission Request	G324 OMB Fastrack Small Business Success Stories Submission Request.docx	09/28/2021

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