Information Collection

Oath or Affirmation

IC 181408 under ICR 202603-0651-005 · OMB 0651-0012.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Form PTO-1209
Oath or Declaration Oath or Affirmation
Form
PTO-1209 Oath or Declaration
0651-0012 PTO1209_Oath_or_Declaration.pdf
Form

Information Collection (IC) Details

View Information Collection (IC)

layout table

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 PTO-1209 Yes Yes Fillable Fileable Signable

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 1,034 0 0 1,028 0 6
Annual IC Time Burden (Hours) 166 0 0 163 0 3
Annual IC Cost Burden (Dollars) 0 0 0 -660 0 660

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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