Information Collection

PTAB Applicant Intake Form

IC 256488 under ICR 202504-0651-001 · OMB 0651-0082.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0651-0082 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form USPTO/553 PTAB Applicant Intake Form	Form
Form USPTO/553 PTAB Applicant Intake Form PTAB Applicant Intake Form	Form
USPTO/553 PTAB Applicant Intake Form 0651-0082 USPT553 PTAB Applicant Intake Form.pdf	Form
USPTO/553 PTAB Applicant Intake Form 0651-0082 USPT553 PTAB Applicant Intake Form.pdf	Form

IC Title:

PTAB Applicant Intake Form

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Removed

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	USPTO/553				Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Intellectual Property Protection

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 40

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-40	40
Annual IC Time Burden (Hours)	-7	7
Annual IC Cost Burden (Dollars)	-1,300	1,300

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.

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