Information Collection

G426: CPM Speaker Interest Form

IC 275344 under ICR 202408-0651-003 · OMB 0651-0080.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
CPM Speaker Interest Form G426: CPM Speaker Interest Form	Form
CPM Speaker Interest Form G426 CPM Speaker Interest Form.docx www-cms.uspto.gov/patents/patents-customer-partnership-meetings/speaker-interest-form	Form
G426 TC CPM Speaker Form Submission Request 2025.docx G426: CPM Speaker Interest Form Submission Request 2025	IC Document

IC Title:

Agency IC Tracking Number:

G426

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
Form	N/A			https://www-cms.uspto.gov/patents/patents-customer-partnership-meetings/speaker-interest-form	Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Intellectual Property Protection

Privacy Act System of Records

Title: COMMERCE/PAT-TM-19 Dissemination Events and Registrations

FR Citation: 71 FR 77739

Number of Respondents: 20

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	20	20
Annual IC Time Burden (Hours)	1	1
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
G426: CPM Speaker Interest Form Submission Request 2025		05/20/2025

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

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