Request for Customer Number Data Change (Individuals or Households)

Representative and Address Provisions

Documents and Forms

Document Name Document Type
Form PTO/SB/124 Request for Customer Number Data Change (Individuals or Households) 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 (Individuals or 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 1.32

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: 33	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 66 %

	Requested	Previously Approved
Annual Number of Responses for this IC	33	33
Annual IC Time Burden (Hours)	7	7
Annual IC Cost Burden (Dollars)	0	0

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.