Information Collection

Original New Design Applications - Application Data Sheet

IC 178636 under ICR 201009-0651-002 · 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⚠️ Notice: This information collection may be referencing outdated material.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
ads_form_inst.doc www.uspto.gov/ebc/portal/efs/ads_form_inst.doc	Instruction
PTO/SB/14 Application Data Sheet 37 CFR 1.76 sb0014_fill.pdf www.uspto.gov/forms/sb0014_fill.pdf	Form
PTO/SB/01A Declaration (37 CFR 1.63) for Utility or Design Applicat sb0001a.pdf www.uspto.gov/forms/sb0001a.pdf	Form
PTO/SB/17 Fee Transmittal Form sb0017.pdf www.uspto.gov/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: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 37 CFR 1.81 through 1.84 37 CFR 1.71 through 1.77 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
Instruction			ads_form_inst.doc	http://www.uspto.gov/ebc/portal/efs/ads_form_inst.doc	Yes	Yes	Fillable Fileable Signable
Form	PTO/SB/14	Application Data Sheet 37 CFR 1.76	sb0014_fill.pdf	http://www.uspto.gov/forms/sb0014_fill.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)	sb0001a.pdf	http://www.uspto.gov/forms/sb0001a.pdf	Yes	Yes	Fillable Fileable Signable
Form	PTO/SB/17	Fee Transmittal Form	sb0017.pdf	http://www.uspto.gov/forms/sb0017.pdf	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: 970

Number of Respondents for Small Entity: 465

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	970	0	-4,375	5,345
Annual IC Time Burden (Hours)	5,626	0	-20,030	25,656
Annual IC Cost Burden (Dollars)	803,453	22,125	-1,012,315	1,793,643

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.