Information Collection

Electronic Transmittal Form

IC 181562 under ICR 201712-0651-005 · OMB 0651-0031.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0651-0031 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form PTO/SB/21 Electronic Transmittal Form	Form and Instruction
PTO/SB/21 Transmittal Form sb0021 Transmittal Form.pdf www.uspto.gov/web/forms/sb0021.pdf	Form and Instruction

IC Title:

Electronic Transmittal Form

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 37 CFR 1.116 37 CFR 1.48 37 CFR 1.125 37 CFR 1.133 37 CFR 1.4 37 CFR 1.111 37 CFR 1.291 37 CFR 1.121 37 CFR 1.5

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 and Instruction	PTO/SB/21	Transmittal Form	sb0021 Transmittal Form.pdf	http://www.uspto.gov/web/forms/sb0021.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: 850,000

Number of Respondents for Small Entity: 212,500

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	850,000	850,000
Annual IC Time Burden (Hours)	1,700,000	1,700,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.