Document Name Document Type
Form PTO/SB/110 Original New Utility Applications - No Application Data Sheet Form
EFS Screens Registered and Unregistered Users.pdf sportal.uspto.gov/authenticate/AuthenticateUserLocalEPF.html Other-Electronic Screen Shots
PTO/SB/01 Declaration for Utility or Design Patent Application (37 ptosb0001_fill.pdf www.uspto.gov/web/forms/sb0001_fill.pdf Form
PTO/SB/02A and PTO Declaration - Additional Inventors-Supplemental Sheet an ptosb0002ab_fill.pdf www.uspto.gov/web/forms/sb0002__fill.pdf Form
PTO/SB/02LR Declaration Supplemental Sheet for Legal Representatives ptosb0002lr.pdf www.uspto.gov/web/forms/sb0002lr.pdf Form
PTO/SB/04 Supplemental Declaration for Utility or Design Patent Ap ptosb0004.pdf www.uspto.gov/web/forms/sb0004.pdf Form
PTO/SB/101 Declaration and Power of Attorney for Patent Application ptosb0101.pdf www.uspto.gov/web/forms/sb0101.pdf Form
PTO/SB/102 Declaration and Power of Attorney for Patent Application ptosb0102.pdf www.uspto.gov/web/forms/sb0102.pdf Form
PTO/SB/103 Declaration and Power of Attorney for Patent Application ptosb0103.pdf www.uspto.gov/web/forms/sb0103.pdf Form
PTO/SB/104 Declaration and Power of Attorney for Patent Application ptosb0104.pdf www.uspto.gov/web/forms/sb0104.pdf Form
PTO/SB/105 Declaration and Power of Attorney for Patent Application ptosb0105.pdf www.uspto.gov/web/forms/sb0105.pdf Form
PTO/SB/106 Declaration and Power of Attorney for Patent Application ptosb0106.pdf www.uspto.gov/web/forms/sb0106.pdf Form
PTO/SB/107 Declaration and Power of Attorney for Patent Application ptosb0107.pdf www.uspto.gov/web/forms/sb0107.pdf Form
PTO/SB/108 Declaration and Power of Attorney for Patent Application ptosb0108.pdf www.uspto.gov/web/forms/sb0108.pdf Form
PTO/SB/109 Declaration and Power of Attorney for Patent Application ptosb0109.pdf www.uspto.gov/web/forms/sb0109.pdf Form
PTO/SB/110 Declaration and Power of Attorney for Patent Application ptosb0110.pdf www.uspto.gov/web/forms/sb0110.pdf Form
PTO/SB/05 Utility Patent Application Transmittal ptosb0005_fill.pdf www.uspto.gov/web/forms/sb0005_fill.pdf Form
PTO/SB/17 Fee Transmittal Form ptosb0017.pdf www.uspto.gov/web/forms/sb0017.pdf Form

Information Collection (IC) Details

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IC Title:	Original New Utility Applications - No Application Data Sheet	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 1.42, 1.43, and 1.47 37 CFR 1.63 through 1.69 37 CFR 1.16 37 CFR 1.71 through 1.77 37 CFR 1.53 37 CFR 1.81 through 1.84

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	PTO/SB/110	Declaration and Power of Attorney for Patent Application	ptosb0110.pdf	www.uspto.gov/web/forms/sb0110.pdf	No		Printable Only
Form	PTO/SB/01	Declaration for Utility or Design Patent Application (37 CFR 1.63)	ptosb0001_fill.pdf	www.uspto.gov/web/forms/sb0001_fill.pdf	No		Fillable Printable
Form	PTO/SB/02A and PTO/SB/02B	Declaration - Additional Inventors-Supplemental Sheet and Declaration - Supplemental Priority Data Sheet	ptosb0002ab_fill.pdf	www.uspto.gov/web/forms/sb0002__fill.pdf	No		Fillable Printable
Form	PTO/SB/02LR	Declaration Supplemental Sheet for Legal Representatives (35 U.S.C 117) on Behalf of a Deceased or Incapacitated Inventor	ptosb0002lr.pdf	www.uspto.gov/web/forms/sb0002lr.pdf	No		Printable Only
Form	PTO/SB/04	Supplemental Declaration for Utility or Design Patent Application (37 CFR 1.67)	ptosb0004.pdf	www.uspto.gov/web/forms/sb0004.pdf	No		Printable Only
Form	PTO/SB/101	Declaration and Power of Attorney for Patent Application - Chinese Language Declaration	ptosb0101.pdf	www.uspto.gov/web/forms/sb0101.pdf	No		Printable Only
Form	PTO/SB/102	Declaration and Power of Attorney for Patent Application - Dutch Language Declaration	ptosb0102.pdf	www.uspto.gov/web/forms/sb0102.pdf	No		Printable Only
Form	PTO/SB/103	Declaration and Power of Attorney for Patent Application - German Language Declaration	ptosb0103.pdf	www.uspto.gov/web/forms/sb0103.pdf	No		Printable Only
Form	PTO/SB/104	Declaration and Power of Attorney for Patent Application - Italian Language Declaration	ptosb0104.pdf	www.uspto.gov/web/forms/sb0104.pdf	No		Printable Only
Form	PTO/SB/105	Declaration and Power of Attorney for Patent Application - French Language Declaration	ptosb0105.pdf	www.uspto.gov/web/forms/sb0105.pdf	No		Printable Only
Form	PTO/SB/106	Declaration and Power of Attorney for Patent Application - Japanese Language Declaration	ptosb0106.pdf	www.uspto.gov/web/forms/sb0106.pdf	No		Printable Only
Form	PTO/SB/107	Declaration and Power of Attorney for Patent Application - Russian Language Declaration	ptosb0107.pdf	www.uspto.gov/web/forms/sb0107.pdf	No		Printable Only
Form	PTO/SB/108	Declaration and Power of Attorney for Patent Application	ptosb0108.pdf	www.uspto.gov/web/forms/sb0108.pdf	No		Printable Only
Form	PTO/SB/109	Declaration and Power of Attorney for Patent Application	ptosb0109.pdf	www.uspto.gov/web/forms/sb0109.pdf	No		Printable Only
Form	PTO/SB/05	Utility Patent Application Transmittal	ptosb0005_fill.pdf	www.uspto.gov/web/forms/sb0005_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/authenticate/AuthenticateUserLocalEPF.html	Yes	Yes	Fillable Fileable Signable

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: 232,000	Number of Respondents for Small Entity: 69,600

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Program Change Due to New Statute	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	232,000	0	-222,287	454,287
Annual IC Time Burden (Hours)	6,960,000	0	2,788,432	4,171,568
Annual IC Cost Burden (Dollars)	61,997,196	361	-513,553,165	575,550,000

Documents for IC

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.

Original New Utility Applications - No Application Data Sheet

Initial Patent Applications

OMB: 0651-0032

IC ID: 37408

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