Information Collection

PCT/Model of Power of Attorney (Individuals and Households)

IC 255358 under ICR 202410-0651-019 · 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⚠️ Notice: This information collection may be referencing outdated material.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
PCT/Model of Power of Attorney (Individuals and Households)	Form
Model of Power of Attorney 0651-0021 Model of Power of Attorney.pdf www.wipo.int/export/sites/www/pct/en/forms/pa/editable/ed_power.pdf	Form
Model of Power of Attorney 0651-0021 Model of Power of Attorney.pdf www.wipo.int/export/sites/www/pct/en/forms/pa/editable/ed_power.pdf	Form

IC Title:

PCT/Model of Power of Attorney (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 1.455

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	None	Model of Power of Attorney	0651-0021 Model of Power of Attorney.pdf	https://www.wipo.int/export/sites/www/pct/en/forms/pa/editable/ed_power.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: 471

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 98 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	471	471
Annual IC Time Burden (Hours)	118	118
Annual IC Cost Burden (Dollars)	0	0

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.