Plant Continuation/Divisional Application

Initial Patent Applications

OMB: 0651-0032

IC ID: 178641

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0651-0032 can be found here:

Documents and Forms

Document Name Document Type
Form PTO/SB/01 Plant Continuation/Divisional Application Form
Form PTO/SB/01 Plant Continuation/Divisional Application Form
PTO/SB/01 Declaration for Utility or Design Patent Application (37 pto sb0001a_fill.pdf www.uspto.gov/forms/sb0001.pdf Form
PTO/SB/01 Declaration for Utility or Design Patent Application (37 pto sb0001a_fill.pdf www.uspto.gov/forms/sb0001.pdf Form
PTO/SB/02A and PTO Declaration - Additional Inventors - Supplemental Sheet sb0002_fill.pdf www.uspto.gov/forms/sb0002_fill.pdf Form
PTO/SB/02A and PTO Declaration - Additional Inventors - Supplemental Sheet sb0002_fill.pdf www.uspto.gov/forms/sb0002_fill.pdf Form
PTO/SB/02LR Declaration Supplemental Sheet for Legal Representatives ptosb0002lr.pdf www.uspto.gov/forms/sb0002lr.pdf Form
PTO/SB/02LR Declaration Supplemental Sheet for Legal Representatives ptosb0002lr.pdf www.uspto.gov/forms/sb0002lr.pdf Form
PTO/SB/04 Supplemental Declaration for Utility or Design Patent Ap ptosb0004.pdf www.uspto.gov/forms/sb0004.pdf Form
PTO/SB/04 Supplemental Declaration for Utility or Design Patent Ap ptosb0004.pdf www.uspto.gov/forms/sb0004.pdf Form
PTO/SB/101 Declaration and Power of Attorney for Patent Application ptosb0101.pdf www.uspto.gov/forms/sb0101.pdf Form
PTO/SB/101 Declaration and Power of Attorney for Patent Application ptosb0101.pdf www.uspto.gov/forms/sb0101.pdf Form
PTO/SB/102 Declaration and Power of Attorney for Patent Application ptosb0102.pdf www.uspto.gov/forms/sb0102.pdf Form
PTO/SB/102 Declaration and Power of Attorney for Patent Application ptosb0102.pdf www.uspto.gov/forms/sb0102.pdf Form
PTO/SB/103 Declaration and Power of Attorney for Patent Application ptosb0103.pdf www.uspto.gov/forms/sb0103.pdf Form
PTO/SB/103 Declaration and Power of Attorney for Patent Application ptosb0103.pdf www.uspto.gov/forms/sb0103.pdf Form
PTO/SB/104 Declaration and Power of Attorney for Patent Application ptosb0104.pdf www.uspto.gov/forms/sb0104.pdf Form
PTO/SB/104 Declaration and Power of Attorney for Patent Application ptosb0104.pdf www.uspto.gov/forms/sb0104.pdf Form
PTO/SB/105 Declaration and Power of Attorney for Patent Application ptosb0105.pdf www.uspto.gov/forms/sb0105.pdf Form
PTO/SB/105 Declaration and Power of Attorney for Patent Application ptosb0105.pdf www.uspto.gov/forms/sb0105.pdf Form
PTO/SB/106 Declaration and Power of Attorney for Patent Application ptosb0106.pdf www.uspto.gov/forms/sb0106.pdf Form
PTO/SB/106 Declaration and Power of Attorney for Patent Application ptosb0106.pdf www.uspto.gov/forms/sb0106.pdf Form
PTO/SB/107 Declaration and Power of Attorney for Patent Application ptosb0107.pdf www.uspto.gov/forms/sb0107.pdf Form
PTO/SB/107 Declaration and Power of Attorney for Patent Application ptosb0107.pdf www.uspto.gov/forms/sb0107.pdf Form
PTO/SB/108 Declaration and Power of Attorney for Patent Application ptosb0108.pdf www.uspto.gov/forms/sb0108.pdf Form
PTO/SB/108 Declaration and Power of Attorney for Patent Application ptosb0108.pdf www.uspto.gov/forms/sb0108.pdf Form
PTO/SB/109 Declaration and Power of Attorney for Patent Application ptosb0109.pdf www.uspto.gov/forms/sb0109.pdf Form
PTO/SB/109 Declaration and Power of Attorney for Patent Application ptosb0109.pdf www.uspto.gov/forms/sb0109.pdf Form
PTO/SB/110 Declaration and Power of Attorney for Patent Application ptosb0110.pdf www.uspto.gov/forms/sb0110_fill.pdf Form
PTO/SB/110 Declaration and Power of Attorney for Patent Application ptosb0110.pdf www.uspto.gov/forms/sb0110_fill.pdf Form
PTO/SB/05 Utility Patent Application Transmittal sb0005_fill.pdf www.uspto.gov/forms/sb0005_fill.pdf Form
PTO/SB/05 Utility Patent Application Transmittal sb0005_fill.pdf www.uspto.gov/forms/sb0005_fill.pdf Form
PTO/SB/17 Fee Transmittal Form ptosb0017.pdf www.uspto.gov/forms/sb0017.pdf Form
PTO/SB/17 Fee Transmittal Form ptosb0017.pdf www.uspto.gov/forms/sb0017.pdf Form
PTO/AIA/08 Declaration for Utility or Design Patent Application (37 PTO_SB_AIA08.pdf www.uspto.gov/forms/aia0008.pdf Form
PTO/AIA/08 Declaration for Utility or Design Patent Application (37 PTO_SB_AIA08.pdf www.uspto.gov/forms/aia0008.pdf Form
PTO/AIA/10 Supplemental Sheet for Declaration PTO_SB_AIA10.pdf www.uspto.gov/forms/aia0010.pdf Form
PTO/AIA/10 Supplemental Sheet for Declaration PTO_SB_AIA10.pdf www.uspto.gov/forms/aia0010.pdf Form
PTO/AIA/02 Substitute Statement in Lieu of an Oath or Declaration f PTO_SB_AIA02.pdf www.uspto.gov/forms/aia0002.pdf Form
PTO/AIA/02 Substitute Statement in Lieu of an Oath or Declaration f PTO_SB_AIA02.pdf www.uspto.gov/forms/aia0002.pdf Form
PTO/AIA/11 Substitute Statement Supplemental Sheet PTO_SB_AIA11.pdf www.uspto.gov/forms/aia0011.pdf Form
PTO/AIA/11 Substitute Statement Supplemental Sheet PTO_SB_AIA11.pdf www.uspto.gov/forms/aia0011.pdf Form
PTO/AIA/01 Declaration (37 CFR 1.63) for Utility or Design Applicat aia0001cn.pdf www.uspto.gov/forms/aia0001cn.pdf Form
PTO/AIA/01 Declaration (37 CFR 1.63) for Utility or Design Applicat aia0001cn.pdf www.uspto.gov/forms/aia0001cn.pdf Form
PTO/AIA/01 Declaration (37 CFR 1.63) for Utility or Design Applicat aia0001nl.pdf www.uspto.gov/forms/aia0001nl.pdf Form
PTO/AIA/01 Declaration (37 CFR 1.63) for Utility or Design Applicat aia0001nl.pdf www.uspto.gov/forms/aia0001nl.pdf Form
PTO/AIA/01 Declaration (37 CFR 1.63) for Utility or Design Applicat aia0001fr.pdf www.uspto.gov/forms/aia0001fr.pdf Form
PTO/AIA/01 Declaration (37 CFR 1.63) for Utility or Design Applicat aia0001fr.pdf www.uspto.gov/forms/aia0001fr.pdf Form
PTO/AIA/01 Declaration (37 CFR 1.63) for Utility or Design Applicat aia0001de.pdf www.uspto.gov/forms/aia0001de.pdf Form
PTO/AIA/01 Declaration (37 CFR 1.63) for Utility or Design Applicat aia0001de.pdf www.uspto.gov/forms/aia0001de.pdf Form
PTO/AIA/01 Declaration 937 CFR 1.63) for Utility or Design Applicat aia0001it.pdf www.uspto.gov/forms/aia0001it.pdf Form
PTO/AIA/01 Declaration 937 CFR 1.63) for Utility or Design Applicat aia0001it.pdf www.uspto.gov/forms/aia0001it.pdf Form
PTO/AIA/01 Declaration (CFR 1.63) for Utility or Design Application aia0001jp.pdf www.uspto.gov/forms/aia0001jp.pdf Form
PTO/AIA/01 Declaration (CFR 1.63) for Utility or Design Application aia0001jp.pdf www.uspto.gov/forms/aia0001jp.pdf Form
PTO/AIA/01 Declaration (37 CFR 1.63) for Utility or Design Applicat aia0001kr.pdf www.uspto.gov/forms/aia0001kr.pdf Form
PTO/AIA/01 Declaration (37 CFR 1.63) for Utility or Design Applicat aia0001kr.pdf www.uspto.gov/forms/aia0001kr.pdf Form
PTO/AIA/01 Declaration (37 CFR 1.63) for Utility or Design Applicat aia0001ru.pdf www.uspto.gov/forms/aia0001ru.pdf Form
PTO/AIA/01 Declaration (37 CFR 1.63) for Utility or Design Applicat aia0001ru.pdf www.uspto.gov/forms/aia0001ru.pdf Form
PTO/AIA/01 Declaration (37 CFR 1.63) for Utility or Design Applicat aia0001es.pdf www.uspto.gov/forms/aia0001es.pdf Form
PTO/AIA/01 Declaration (37 CFR 1.63) for Utility or Design Applicat aia0001es.pdf www.uspto.gov/forms/aia0001es.pdf Form
PTO/AIA/01 Declaration (37 CFR 1.63) for Utility or Design Applicat aia0001se.pdf www.uspto.gov/forms/aia0001se.pdf Form
PTO/AIA/01 Declaration (37 CFR 1.63) for Utility or Design Applicat aia0001se.pdf www.uspto.gov/forms/aia0001se.pdf Form
PTO/AIA/02 Substitute Statement in Lieu of an Oath or Declaration f aia0002cn.pdf www.uspto.gov/forms/aia0002cn.pdf Form
PTO/AIA/02 Substitute Statement in Lieu of an Oath or Declaration f aia0002cn.pdf www.uspto.gov/forms/aia0002cn.pdf Form
PTO/AIA/02 Substitute Statement in Lieu of an Oath or Declaration f aia0002nl.pdf www.uspto.gov/forms/aia0002nl.pdf Form
PTO/AIA/02 Substitute Statement in Lieu of an Oath or Declaration f aia0002nl.pdf www.uspto.gov/forms/aia0002nl.pdf Form
PTO/AIA/02 Substitute Statement in Lieu of an Oath or Declaration f aia0002fr.pdf www.uspto.gov/forms/aia0002fr.pdf Form
PTO/AIA/02 Substitute Statement in Lieu of an Oath or Declaration f aia0002fr.pdf www.uspto.gov/forms/aia0002fr.pdf Form
PTO/AIA/02 Substitute Statement in Lieu of an Oath or Declaration f aia0002de.pdf www.uspto.gov/forms/aia0002de.pdf Form
PTO/AIA/02 Substitute Statement in Lieu of an Oath or Declaration f aia0002de.pdf www.uspto.gov/forms/aia0002de.pdf Form
PTO/AIA/02 Substitute Statement in Lieu of an Oath or Declaration f aia0002it.pdf www.uspto.gov/forms/aia0002ir.pdf Form
PTO/AIA/02 Substitute Statement in Lieu of an Oath or Declaration f aia0002it.pdf www.uspto.gov/forms/aia0002ir.pdf Form
PTO/AIA/02 Substitute Statement in Lieu of an Oath or Declaration f aia0002jp.pdf www.uspto.gov/forms/aia0002jp.pdf Form
PTO/AIA/02 Substitute Statement in Lieu of an Oath or Declaration f aia0002jp.pdf www.uspto.gov/forms/aia0002jp.pdf Form
PTO/AIA/02 Substitute Statement in Lieu of an Oath or Declaration f aia0002kr.pdf www.uspto.gov/forms/aia0002kr.pdf Form
PTO/AIA/02 Substitute Statement in Lieu of an Oath or Declaration f aia0002kr.pdf www.uspto.gov/forms/aia0002kr.pdf Form
PTO/AIA/02 Substitute Statement in Lieu of an Oath or Declaration f aia0002ru.pdf www.uspto.gov/forms/aia0002ru.pdf Form
PTO/AIA/02 Substitute Statement in Lieu of an Oath or Declaration f aia0002ru.pdf www.uspto.gov/forms/aia0002ru.pdf Form
PTO/AIA/02 Substitute Statement in Lieu of an Oath or Declaration f aia0002es.pdf www.uspto.gov/forms/aia0002es.pdf Form
PTO/AIA/02 Substitute Statement in Lieu of an Oath or Declaration f aia0002es.pdf www.uspto.gov/forms/aia0002es.pdf Form
PTO/AIA/02 Substitute Statement in Lieu of an Oath or Declaration f aia0002se.pdf www.uspto.gov/forms/aia0002se.pdf Form
PTO/AIA/02 Substitute Statement in Lieu of an Oath or Declaration f aia0002se.pdf www.uspto.gov/forms/aia0002se.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Plant Continuation/Divisional Application	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 1.81 through 1.84 37 CFR 1.45 through 1.48 37 CFR 1.41 through 1.43 37 CFR 1.51 through 1.53 37 CFR 1.71 through 1.78 37 CFR 1.63 through 1.69 37 CFR 1.16 37 CFR 1.57 and 1.58

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	PTO/SB/01	Declaration for Utility or Design Patent Application (37 CFR 1.63)	pto sb0001a_fill.pdf	http://www.uspto.gov/forms/sb0001.pdf	Yes	Yes	Fillable Fileable Signable
Form	PTO/SB/02A and PTO/SB/02B	Declaration - Additional Inventors - Supplemental Sheet and Declaration - Supplemental Priority Data Sheet	sb0002_fill.pdf	http://www.uspto.gov/forms/sb0002_fill.pdf	Yes	Yes	Fillable Fileable Signable
Form	PTO/SB/02LR	Declaration Supplemental Sheet for Legal Representatives (35 U.S.C. 117) on Behalf of a Deceased or Incapacitated Inventor	ptosb0002lr.pdf	http://www.uspto.gov/forms/sb0002lr.pdf	Yes	Yes	Fillable Fileable Signable
Form	PTO/SB/04	Supplemental Declaration for Utility or Design Patent Application (37 CFR 1.67)	ptosb0004.pdf	http://www.uspto.gov/forms/sb0004.pdf	Yes	Yes	Fillable Fileable Signable
Form	PTO/SB/101	Declaration and Power of Attorney for Patent Application - Chinese Language Declaration	ptosb0101.pdf	http://www.uspto.gov/forms/sb0101.pdf	Yes	Yes	Fillable Fileable Signable
Form	PTO/SB/102	Declaration and Power of Attorney for Patent Application	ptosb0102.pdf	http://www.uspto.gov/forms/sb0102.pdf	Yes	Yes	Fillable Fileable Signable
Form	PTO/SB/103	Declaration and Power of Attorney for Patent Application	ptosb0103.pdf	http://www.uspto.gov/forms/sb0103.pdf	Yes	Yes	Fillable Fileable Signable
Form	PTO/SB/104	Declaration and Power of Attorney for Patent Application - Italian	ptosb0104.pdf	http://www.uspto.gov/forms/sb0104.pdf	Yes	Yes	Fillable Fileable Signable
Form	PTO/SB/105	Declaration and Power of Attorney for Patent Application - French	ptosb0105.pdf	http://www.uspto.gov/forms/sb0105.pdf	Yes	Yes	Fillable Fileable Signable
Form	PTO/SB/106	Declaration and Power of Attorney for Patent Application - Japanese Language Declaration	ptosb0106.pdf	http://www.uspto.gov/forms/sb0106.pdf	Yes	Yes	Fillable Fileable Signable
Form	PTO/SB/107	Declaration and Power of Attorney for Patent Application - Russian Language Declaration	ptosb0107.pdf	http://www.uspto.gov/forms/sb0107.pdf	Yes	Yes	Fillable Fileable Signable
Form	PTO/SB/108	Declaration and Power of Attorney for Patent Application - Swedish	ptosb0108.pdf	http://www.uspto.gov/forms/sb0108.pdf	Yes	Yes	Fillable Fileable Signable
Form	PTO/SB/109	Declaration and Power of Attorney for Patent Application - Spanish	ptosb0109.pdf	http://www.uspto.gov/forms/sb0109.pdf	Yes	Yes	Fillable Fileable Signable
Form	PTO/SB/110	Declaration and Power of Attorney for Patent Application - Korean	ptosb0110.pdf	http://www.uspto.gov/forms/sb0110_fill.pdf	Yes	Yes	Fillable Fileable Signable
Form	PTO/SB/05	Utility Patent Application Transmittal	sb0005_fill.pdf	http://www.uspto.gov/forms/sb0005_fill.pdf	Yes	Yes	Fillable Fileable Signable
Form	PTO/SB/17	Fee Transmittal Form	ptosb0017.pdf	http://www.uspto.gov/forms/sb0017.pdf	Yes	Yes	Fillable Fileable Signable
Form	PTO/AIA/08	Declaration for Utility or Design Patent Application (37 CFR 1.63)	PTO_SB_AIA08.pdf	http://www.uspto.gov/forms/aia0008.pdf	Yes	Yes	Fillable Fileable Signable
Form	PTO/AIA/10	Supplemental Sheet for Declaration	PTO_SB_AIA10.pdf	http://www.uspto.gov/forms/aia0010.pdf	Yes	Yes	Fillable Fileable Signable
Form	PTO/AIA/02	Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64)	PTO_SB_AIA02.pdf	http://www.uspto.gov/forms/aia0002.pdf	Yes	Yes	Fillable Fileable Signable
Form	PTO/AIA/11	Substitute Statement Supplemental Sheet	PTO_SB_AIA11.pdf	http://www.uspto.gov/forms/aia0011.pdf	Yes	Yes	Fillable Fileable Signable
Form	PTO/AIA/01	Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76) (Chinese)	aia0001cn.pdf	http://www.uspto.gov/forms/aia0001cn.pdf	Yes	Yes	Fillable Fileable Signable
Form	PTO/AIA/01	Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76) (Dutch)	aia0001nl.pdf	http://www.uspto.gov/forms/aia0001nl.pdf	Yes	Yes	Fillable Fileable Signable
Form	PTO/AIA/01	Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76) (French)	aia0001fr.pdf	http://www.uspto.gov/forms/aia0001fr.pdf	Yes	Yes	Fillable Fileable Signable
Form	PTO/AIA/01	Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76) (German)	aia0001de.pdf	http://www.uspto.gov/forms/aia0001de.pdf	Yes	Yes	Fillable Fileable Signable
Form	PTO/AIA/01	Declaration 937 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (Italian)	aia0001it.pdf	http://www.uspto.gov/forms/aia0001it.pdf	Yes	Yes	Fillable Fileable Signable
Form	PTO/AIA/01	Declaration (CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76) (Japan)	aia0001jp.pdf	http://www.uspto.gov/forms/aia0001jp.pdf	Yes	Yes	Fillable Fileable Signable
Form	PTO/AIA/01	Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76) (Korean)	aia0001kr.pdf	http://www.uspto.gov/forms/aia0001kr.pdf	Yes	Yes	Fillable Fileable Signable
Form	PTO/AIA/01	Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76) (Russian)	aia0001ru.pdf	http://www.uspto.gov/forms/aia0001ru.pdf	Yes	Yes	Fillable Fileable Signable
Form	PTO/AIA/01	Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76)	aia0001es.pdf	http://www.uspto.gov/forms/aia0001es.pdf	Yes	Yes	Fillable Fileable Signable
Form	PTO/AIA/01	Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76) (Swedish)	aia0001se.pdf	http://www.uspto.gov/forms/aia0001se.pdf	Yes	Yes	Fillable Fileable Signable
Form	PTO/AIA/02	Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64) (Chinese)	aia0002cn.pdf	http://www.uspto.gov/forms/aia0002cn.pdf	Yes	Yes	Fillable Fileable Signable
Form	PTO/AIA/02	Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64) (Dutch)	aia0002nl.pdf	http://www.uspto.gov/forms/aia0002nl.pdf	Yes	Yes	Fillable Fileable Signable
Form	PTO/AIA/02	Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64) (French)	aia0002fr.pdf	http://www.uspto.gov/forms/aia0002fr.pdf	Yes	Yes	Fillable Fileable Signable
Form	PTO/AIA/02	Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 cfR 1.64) (German)	aia0002de.pdf	http://www.uspto.gov/forms/aia0002de.pdf	Yes	Yes	Fillable Fileable Signable
Form	PTO/AIA/02	Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.65) (Italian)	aia0002it.pdf	http://www.uspto.gov/forms/aia0002ir.pdf	Yes	Yes	Fillable Fileable Signable
Form	PTO/AIA/02	Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64)(Japanese)	aia0002jp.pdf	http://www.uspto.gov/forms/aia0002jp.pdf	Yes	Yes	Fillable Fileable Signable
Form	PTO/AIA/02	Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64) (Korean)	aia0002kr.pdf	http://www.uspto.gov/forms/aia0002kr.pdf	Yes	Yes	Fillable Fileable Signable
Form	PTO/AIA/02	Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64) (Russian)	aia0002ru.pdf	http://www.uspto.gov/forms/aia0002ru.pdf	Yes	Yes	Fillable Fileable Signable
Form	PTO/AIA/02	Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64) (Spanish)	aia0002es.pdf	http://www.uspto.gov/forms/aia0002es.pdf	Yes	Yes	Fillable Fileable Signable
Form	PTO/AIA/02	Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64) (Swedish)	aia0002se.pdf	http://www.uspto.gov/forms/aia0002se.pdf	Yes	Yes	Fillable Fileable Signable

Federal Enterprise Architecture Business Reference Module

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: 12	Number of Respondents for Small Entity: 3

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	12	12
Annual IC Time Burden (Hours)	36	36
Annual IC Cost Burden (Dollars)	345	345

Documents for IC

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