Information Collection

Petition for Retroactive License

IC 180066 under ICR 202512-0651-006 · OMB 0651-0034.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
0034 EFS web user page.mht.pdf efs.uspto.gov/EFSWebUIUnregistered/EFSWebUnregistered	Other-Website

IC Title:

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 5.25 37 CFR 5.11-15 37 CFR 1.17(g) 37 CFR 5.18-20

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
Other-Website				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: 144

Number of Respondents for Small Entity: 14

Affected Public: Private Sector

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

Percentage of Respondents Reporting Electronically: 99 %

table that charts list of burden
	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	144	-56	200
Annual IC Time Burden (Hours)	576	-224	800
Annual IC Cost Burden (Dollars)	31,960	-9,444	41,404

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.

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].