Information Collection

Request and Fee Calculation Sheet (Individuals and Households)

IC 255353 under ICR 202302-0651-010 · OMB 0651-0021.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0651-0021 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form PCT/RO/101 Request and Fee Calculation Sheet (Individuals and Households)	Form and Instruction
Form PCT/RO/101 Request and Fee Calculation Sheet (Individuals and Households)	Form and Instruction
PCT/RO/101 Request and Fee Calculation Sheet (Annex and Notes) 0651-0021 Request and Fee Calculation Sheet PTO RO 101.pdf www.wipo.int/export/sites/www/pct/en/forms/request/ed_request.pdf	Form and Instruction
PCT/RO/101 Request and Fee Calculation Sheet (Annex and Notes) 0651-0021 Request and Fee Calculation Sheet PTO RO 101.pdf www.wipo.int/export/sites/www/pct/en/forms/request/ed_request.pdf	Form and Instruction

IC Title:

Request and Fee Calculation Sheet (Individuals and Households)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 37 CFR 1.431-1.434, 1.445

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	PCT/RO/101	Request and Fee Calculation Sheet (Annex and Notes)	0651-0021 Request and Fee Calculation Sheet PTO RO 101.pdf	http://www.wipo.int/export/sites/www/pct/en/forms/request/ed_request.pdf	Yes	Yes	Fillable Fileable Signable

Line of Business: Economic Development

Subfunction: Intellectual Property Protection

Privacy Act System of Records

Title: COMMERCE/PAT-TM-7 Patent Application Files

FR Citation: 78 FR 19243

Number of Respondents: 1,216

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 98 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	1,216	1,216
Annual IC Time Burden (Hours)	1,216	1,216
Annual IC Cost Burden (Dollars)	1,553,743	1,553,743

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.