Form PTO/SB/20PCT-AU Request for Participation in the PCT-PPH Pilot Program B

Doc Code: PPH.PCT.652

PTO/SB/20PCT-AU (01-11)

Approved for use through 01/31/2015. OMB 0651-0058

U.S. Patent and Trademark Office; U.S DEPARTMENT OF COMMERCE
Under the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. 

Document Description: Petition to make special under PCT-Patent Pros Hwy

REQUEST FOR PARTICIPATION IN THE PATENT COOPERATION TREATY – PATENT
PROSECUTION HIGHWAY (PCT-PPH) PILOT PROGRAM BETWEEN
THE IP AUSTRALIA (IPAU) AND THE USPTO
Application No.:

First Named Inventor:

Filing Date:

Attorney Docket No.:

Title of the
Invention:

THIS REQUEST FOR PARTICIPATION IN THE PCT-PPH PILOT PROGRAM ALONG WITH THE REQUIRED DOCUMENTS MUST BE SUBMITTED VIA
EFS-WEB. INFORMATION REGARDING EFS-WEB IS AVAILABLE AT HTTP://WWW.USPTO.GOV/EBC/EFS_HELP.HTML.
APPLICANT HEREBY REQUESTS PARTICIPATION IN THE PCT-PPH PILOT PROGRAM AND PETITIONS TO MAKE THE
ABOVE-IDENTIFIED APPLICATION SPECIAL UNDER THE PCT-PPH PILOT PROGRAM.
The above-identified application is (1) a national stage entry of the corresponding PCT application, or (2) a national stage entry of
another PCT application which claims priority to the corresponding PCT application, or (3) a national application that claims
domestic/ foreign priority to the corresponding PCT application, or (4) a national application which forms the basis for the priority
claim in the corresponding PCT application, or (5) a continuing application of a U.S. application that satisfies one of (1) to (4)
above, or (6) a U.S. application that claims domestic benefit to a U.S. provisional application which forms the basis for the priority
claim in the corresponding PCT application.
The corresponding PCT application number(s) is/are: ____________________________________________________
__________________________________________________________________________________________________
The international filing date of the corresponding PCT application(s) is/are: __________________________________
__________________________________________________________________________________________________
I. List of Required Documents:

a.

A copy of the latest international work product (WO/ISA, WO/IPEA, or IPER) in the above-identified
corresponding PCT application(s)
is attached.
is not attached because the document is already in the U.S. application.

b.

A copy of all claims which were indicated as having novelty, inventive step and industrial applicability
in the above-identified corresponding PCT application(s)
is attached.
is not attached because the document is already in the U.S. application.

c.

English translations of the documents in a. and b. above are attached (if the documents are not in the
English language). A statement that the English translation is accurate is attached for the document in
b. above.

d.

(1) An information disclosure statement listing the documents cited in the international work products
(ISR, WO/ISA, WO/IPEA, IPER) of the corresponding PCT application.
is attached.
has already been filed in the above-identified U.S. application on ___________________________
(2) Copies of all documents (except for U.S. patents or U.S. patent application publications)
are attached.
have already been filed in the above-identified U.S. application on __________________________
[Page 1 of 2]

This collection of information is required by 35 U.S.C. 119, 37 CFR 1.55, and 37 CFR 1.102(d). The information is required to obtain or retain
a benefit by the public, which is to file (and by the USPTO to process) an application. Confidentiality is governed by 35 U.S.C. 122 and
37 CFR 1.11 and 1.14. This collection is estimated to take 2 hours to complete, including gathering, preparing, and submitting the completed
application form to the USPTO. Time will vary depending upon the individual case. Any comments on the amount of time you require to
complete this form and/or suggestions for reducing this burden should be sent to the Chief Information Officer, U.S. Patent and Trademark
Office, U.S. Department of Commerce, P.O. Box 1450, Alexandria, VA 22313-1450. DO NOT SEND FEES OR COMPLETED FORMS TO
THIS ADDRESS.

PTO/SB/20PCT-AU (01-11)
Approved for use through 01/31/2015. OMB 0651-0058
U.S. Patent and Trademark Office; U.S DEPARTMENT OF COMMERCE
Under the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. 

REQUEST FOR PARTICIPATION IN THE PCT-PPH PILOT PROGRAM
BETWEEN THE IPAU AND THE USPTO
(continued)
Application No.:

First Named Inventor:

II. Claims Correspondence Table:

Claims in US Application

Patentable Claims in
the corresponding PCT
application

Explanation regarding the correspondence

III. All the claims in the US application sufficiently correspond to the patentable claims in the
corresponding PCT application.

Signature

Date

Name
(Print/Typed)

Registration Number
[Page 2 of 2]

Privacy Act Statement

The Privacy Act of 1974 (P.L. 93-579) requires that you be given certain information in connection with your
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the Act, please be advised that: (1) the general authority for the collection of this information is 35 U.S.C. 2(b)(2); (2)
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patent. If you do not furnish the requested information, the U.S. Patent and Trademark Office may not be able to
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application or expiration of the patent.
The information provided by you in this form will be subject to the following routine uses:
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Information Act (5 U.S.C. 552) and the Privacy Act (5 U.S.C 552a). Records from this system of records may
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