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Request for Green Technolgy Pilot Program
Green Technology Pilot Program
OMB: 0651-0062
IC ID: 190967
OMB.report
DOC/PTO
OMB 0651-0062
ICR 200910-0651-003
IC 190967
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0651-0062 can be found here:
2024-11-20 - No material or nonsubstantive change to a currently approved collection
2024-09-13 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form PTO/SB/420
Request for Green Technolgy Pilot Program
Form and Instruction
PTO/SB/420 Request For Green Technology Pilot Program
PTOSB420 draft Req for Green Tech Pilot form.pdf
Form and Instruction
0651 Emergency ICR Green Tech.pdf
Request for Emergency Clearance
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Request for Green Technolgy Pilot Program
Agency IC Tracking Number:
Is this a Common Form?
Yes
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
37 CFR 1.102
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
PTO/SB/420
Request For Green Technology Pilot Program
PTOSB420 draft Req for Green Tech Pilot form.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Economic Development
Subfunction:
Intellectual Property Protection
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
5,000
Number of Respondents for Small Entity:
2,000
Affected Public:
Private Sector
Private Sector:
Farms, Businesses or other for-profits, Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
100 %
Approved
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
5,000
0
5,000
0
0
0
Annual IC Time Burden (Hours)
5,500
0
5,500
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Request for Emergency Clearance
0651 Emergency ICR Green Tech.pdf
10/14/2009
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.