Change of Correspondence Address for Application or Patent

Representative and Address Provisions

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0651-0035 can be found here:

Documents and Forms

Document Name Document Type
Form PTO/SB/122 Change of Correspondence Address for Application or Patent Form
PTO/SB/122 Change of Correspondence Address - Application sb0122_fill.pdf www.uspto.gov/web/forms/sb0122_fill.pdf Form
PTO/SB/123 Change of Correspondence Address - Patent sb0123_fill.pdf www.uspto.gov/web/forms/sb0123_fill.pdf Form

Information Collection (IC) Details

IC Title:	Change of Correspondence Address for Application or Patent	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 1.33

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	PTO/SB/122	Change of Correspondence Address - Application	sb0122_fill.pdf	http://www.uspto.gov/web/forms/sb0122_fill.pdf	Yes	Yes	Fillable Fileable Signable
Form	PTO/SB/123	Change of Correspondence Address - Patent	sb0123_fill.pdf	http://www.uspto.gov/web/forms/sb0123_fill.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: 140,000	Number of Respondents for Small Entity: 35,000

Affected Public: Private Sector	Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 90 %

	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	140,000	0	19,673	120,327
Annual IC Time Burden (Hours)	7,000	0	984	6,016
Annual IC Cost Burden (Dollars)	12,320	-5,940	-32,622	50,882

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.