Information Collection

Provisional Application for Patent Cover Sheet

IC 178644 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⚠️ Notice: This information collection may be referencing outdated material.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/16 Provisional Application for Patent Cover Sheet	Form
EFS Screens Registered and Unregistered Users.pdf sportal.uspto.gov/authenticate/AuthenticateUserLocalEPF.html	Other-Electronic Screen Shots
PTO/SB/16 Provisional Application for Patent Cover Sheet ptosb0106.pdf www.uspto.gov/web/forms/sb0016_fill.pdf	Form

IC Title:

Provisional Application for Patent Cover 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 1.53 37 CFR 1.71 through 1.77 37 CFR 1.81 through 1.84 37 CFR 1.42, 1.43, 1.47 37 CFR 1.63 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	PTO/SB/16	Provisional Application for Patent Cover Sheet	ptosb0106.pdf	www.uspto.gov/web/forms/sb0016_fill.pdf	Yes	Yes	Fillable Printable
Other-Electronic Screen Shots			EFS Screens Registered and Unregistered Users.pdf	https://sportal.uspto.gov/authenticate/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: 138,170

Number of Respondents for Small Entity: 85,980

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 8 %

table that charts list of burden
	Approved	Program Change Due to New Statute	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	138,170	0	138,170
Annual IC Time Burden (Hours)	1,381,700	0	1,381,700
Annual IC Cost Burden (Dollars)	48,703,085	383	48,702,702

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.