Request for Customer Number Data Change (Private Sector)

Representative and Address Provisions

Documents and Forms

Document Name Document Type
Form PTO/SB/124 Request for Customer Number Data Change (Private Sector) Form
PTO/SB/124 Request for Customer Number Data Change sb0124.pdf www.uspto.gov/sites/default/files/documents/sb00124.pdf Form

Information Collection (IC) Details

IC Title:	Request for Customer Number Data Change (Private Sector)	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 1.32

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	PTO/SB/124	Request for Customer Number Data Change	sb0124.pdf	https://www.uspto.gov/sites/default/files/documents/sb00124.pdf	Yes	Yes	Fillable Fileable Signable

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: 1,067	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: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	1,067	1,067
Annual IC Time Burden (Hours)	213	213
Annual IC Cost Burden (Dollars)	4,000	4,000

Documents for IC

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.