Information Collection

Supplemental Declaration for Reissue Patent Application to Correct "Errors" Statement (37 CFR 1.175)

IC 179605 under ICR 201711-0651-005 · OMB 0651-0033.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0651-0033 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form PTO/SB/51S Supplemental Declaration for Reissue Patent Application to Correct "Errors" Statement (37 CFR 1.175)	Form
PTO/SB/51S Supplemental Declaration for Reissue Patent Application sb0051s.pdf www.uspto.gov/forms/sb0051s.pdf	Form

IC Title:

Supplemental Declaration for Reissue Patent Application to Correct "Errors" Statement (37 CFR 1.175)

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 1.171-1.179 37 CFR 1.47, 1.63-1.64, 1.67

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/51S	Supplemental Declaration for Reissue Patent Application to Correct "Errors" Statement (37 CFR 1.175)	sb0051s.pdf	http://www.uspto.gov/forms/sb0051s.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: 250

Number of Respondents for Small Entity: 63

Affected Public: Private Sector

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

Percentage of Respondents Reporting Electronically: 98 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	250	0	250
Annual IC Time Burden (Hours)	75	0	75
Annual IC Cost Burden (Dollars)	12	-1	13

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.