Information Collection

Original New Design Applications - Application Data Sheet

IC 178636 under ICR 200702-0651-008 · OMB 0651-0032.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0651-0032 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form PTO/SB/14 Original New Design Applications - Application Data Sheet	Form and Instruction
EFS Screens Registered and Unregistered Users.pdf sportal.uspto.gov/authenticae/AuthenticateUserLocalEPF.html	Other-Electronic Screen Shots
PTO/SB/14 Application Data Sheet 37 CFR 1.76 PTO US_ADS_Form_SB_14.pdf www.uspto.gov/ebc/portal/efs/US_ADS_Form_SB_14.pdf	Form and Instruction
PTO/SB/01A Declaration (37 CFR 1.63) for Utility or Design Applicat pto sb0001a_fill.pdf www.uspto.gov/web/forms/sb0001a_fill.pdf	Form
PTO/SB/17 Fee Transmittal Form ptosb0017.pdf www.uspto.gov/web/forms/sb0017.pdf	Form

IC Title:

Original New Design Applications - Application Data Sheet

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 37 CFR 1.71 through 1.77 37 CFR 1.81 through 1.84 37 CFR 1.42, 1.43, 1.47 37 CFR 1.53 37 CFR 1.63 through 1.69 37 CFR 1.16

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 and Instruction	PTO/SB/14	Application Data Sheet 37 CFR 1.76	PTO US_ADS_Form_SB_14.pdf	www.uspto.gov/ebc/portal/efs/US_ADS_Form_SB_14.pdf	Yes	Yes	Fillable Fileable Signable
Form	PTO/SB/01A	Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76)	pto sb0001a_fill.pdf	www.uspto.gov/web/forms/sb0001a_fill.pdf	No		Fillable Printable
Form	PTO/SB/17	Fee Transmittal Form	ptosb0017.pdf	www.uspto.gov/web/forms/sb0017.pdf	No		Printable Only
Other-Electronic Screen Shots			EFS Screens Registered and Unregistered Users.pdf	https://sportal.uspto.gov/authenticae/AuthenticateUserLocalEPF.html	Yes	Yes	Fillable Fileable Signable

Line of Business: Economic Development

Subfunction: Intellectual Property Protection

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 5,345

Number of Respondents for Small Entity: 2,726

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 5 %

table that charts list of burden
	Approved	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	5,345	0	0	5,345
Annual IC Time Burden (Hours)	25,656	0	0	25,656
Annual IC Cost Burden (Dollars)	1,793,643	221	270	1,793,152

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.