Information Collection

Provisional Application for Patent Cover Sheet

IC 178644 under ICR 201712-0651-012 · OMB 0651-0032.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0651-0032 can be found here:

2026-06-24 - No material or nonsubstantive change to a currently approved collection
2024-11-20 - No material or nonsubstantive change to a currently approved collection

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form PTO/SB/16 Provisional Application for Patent Cover Sheet	Form
sb16_inst.doc www.uspto.gov/ebc/portal/efs/sb16_inst.doc	Instruction
PTO/SB/16 Provisional Application for Patent Cover Sheet sb0016.pdf www.uspto.gov/forms/sb0016.pdf	Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Provisional Application for Patent Cover Sheet

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 1.81 through 1.84 37 CFR 1.51 through 1.53 37 CFR 1.41 through 1.43 37 CFR 1.71 through 1.78 37 CFR 1.63 through 1.69 37 CFR 1.16 37 CFR 1.57 and 1.58 37 CFR 1.45 through 1.48

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/16	Provisional Application for Patent Cover Sheet	sb0016.pdf	http://www.uspto.gov/forms/sb0016.pdf	Yes	Yes	Fillable Fileable Signable
Instruction			sb16_inst.doc	http://www.uspto.gov/ebc/portal/efs/sb16_inst.doc	Yes	Yes	Fillable Fileable Signable

Federal Enterprise Architecture Business Reference Module

Line of Business: Economic Development

Subfunction: Intellectual Property Protection

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4,000

Number of Respondents for Small Entity: 1,000

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	Previously Approved
Annual Number of Responses for this IC	4,000	0	4,000
Annual IC Time Burden (Hours)	72,000	0	72,000
Annual IC Cost Burden (Dollars)	681,830	39,200	642,630

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.