Petition for Retroactive License

Secrecy and License to Export

Documents and Forms

Document Name Document Type
0034 EFS web user page.mht.pdf efs.uspto.gov/EFSWebUIUnregistered/EFSWebUnregistered Other-Website

Information Collection (IC) Details

IC Title:	Petition for Retroactive License	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 1.17(g) 37 CFR 5.25

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Website			0034 EFS web user page.mht.pdf	https://efs.uspto.gov/EFSWebUIUnregistered/EFSWebUnregistered	Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Intellectual Property Protection

Privacy Act System of Records
Title: PAT-TM-13: Petitioners for License to File for Foreign Patents	FR Citation: 78 FR 19463

Number of Respondents: 200	Number of Respondents for Small Entity: 20

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

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	200	0	200
Annual IC Time Burden (Hours)	800	0	800
Annual IC Cost Burden (Dollars)	41,404	2,628	38,776

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.