Information Collection

Original New Design Applications - No Application Data Sheet

IC 178633 under ICR 201712-0651-019 · 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⚠️ Notice: This information collection may be referencing outdated material.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/04 Original New Design Applications - No Application Data Sheet	Form
PTO/SB/04 Supplemental Declaration for Utility or Design Patent Ap sb0104.pdf www.uspto.gov/forms/sb0004.pdf	Form
PTO/SB/AIA/08 Declaration for Utility or Design Patent Application (37 aia0008.pdf www.uspto.gov/forms/aia0008.pdf	Form
PTO/SB/AIA/10 Supplemental Sheet for Declaration aia0010.pdf www.uspto.gov/forms/aia0010.pdf	Form
PTO/SB/AIA/02 Substitute Statement in Lieu of an Oath or Declaration f aia0002.pdf www.uspto.gov/forms/aia0002.pdf	Form
PTO/SB/AIA/11 Substitute Statement Supplemental Sheet aia0011.pdf www.uspto.gov/forms/aia0011.pdf	Form
PTO/SB/AIA/01 Declaration (37 CFR 1.63) for Utility or Design Applicat aia0001cn.pdf www.uspto.gov/forms/aia0001cn.pdf	Form
PTO/SB/AIA/01 Declaration (37 CFR 1.63) for Utility or Design Applicat aia0001nl.pdf www.uspto.gov/forms/aiaooo1nl.pdf	Form
PTO/SB/AIA/01 Declaration (37 CFR 1.63) for Utility or Design Applicat aia0001fr.pdf www.uspto.gov/forms/aiaooo1fr.pdf	Form
PTO/SB/AIA/01 Declaration (37 CFR 1.63) for Utility or Design Applicat aia0001de.pdf www.uspto.gov/forms/aia0001de.pdf	Form
PTO/SB/AIA/01 Declaration (37 CFR 1.63) for Utility or Design Applicat aia0001it.pdf www.uspto.gov/forms/aia0001it.pdf	Form
PTO/SB/AIA/01 Declaration (37 CFR 1.63) for Utility or Design Applicat aia0001jp.pdf www.uspto.gov/forms/aia0001jp.pdf	Form
PTO/SB/AIA/01 Declaration (37 CFR 1.63) for Utility or Design Applicat aia0001kr.pdf www.uspto.gov/forms/aia0001kr.pdf	Form
PTO/SB/AIA/01 Declaration (37 CFR 1.63) for Utility or Design Applicat aia0001ru.pdf www.uspto.gov/forms/aia0001ru.pdf	Form
PTO/SB/AIA/01 Declaration (37 CFR 1.63) for Utility or Design Applicat aia0001es.pdf www.uspto.gov/forms/aia0001es.pdf	Form
PTO/SB/AIA/01 Declaration (37 CFR 1.63) for Utility or Design Applicat aia0001se.pdf www.uspto.gov/forms/aia0001se.pdf	Form
PTO/SB/AIA/02 Substitute Statement in Lieu of an Oath or Declaration f aia0002cn.pdf www.uspto.gov/forms/aia0002cn.pdf	Form
PTO/SB/AIA/02 Substitute Statement in Lieu of an Oath or Declaration f aia0002nl.pdf www.uspto.gov/forms/aia0002nl.pdf	Form
PTO/SB/AIA/02 Substitute Statement in Lieu of an Oath or Declaration f aia0002fr.pdf www.uspto.gov/forms/aia0002fr.pdf	Form
PTO/SB/AIA/02 Substitute Statement in Lieu of an Oath or Declaration f aia0002de.pdf www.uspto.gov/forms/aia0002de.pdf	Form
PTO/SB/AIA/02 Substitute Statement in Lieu of an Oath or Declaration f aia0002it.pdf www.uspto.gov/forms/aia0002it.pdf	Form
PTO/SB/AIA/02 Substitute Statement in Lieu of an Oath or Declaration f aia0002jp.pdf www.uspto.gov/forms/aia0002jp.pdf	Form
PTO/SB/AIA/2 Substitute Statement in Lieu of an Oath or Declaration f aia0002kr.pdf www.uspto.gov/forms/aia0002kr.pdf	Form
PTO/SB/AIA/02 Substitute Statement in Lieu of an Oath or Declaration f aia0002ru.pdf www.uspto.gov/forms/aia0002ru.pdf	Form
PTO/SB/AIA/02 Substitute Statement in Lieu of an Oath or Declaration f aia0002es.pdf www.uspto.gov/forms/aia0002es.pdf	Form
PTO/SB/AIA/02 Substitute Statement in Lieu of an Oath or Declaration f aia0002se.pdf www.uspto.gov/forms/aia0002se.pdf	Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Original New Design Applications - No Application Data 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 1.16 37 CFR 1.63 through 1.69 37 CFR 1.81 through 1.84 37 CFR 1.41 through 1.43 37 CFR 1.57 and 1.58 37 CFR 1.45 through 1.48 37 CFR 1.51 through 1.53 37 CFR 1.71 through 1.78

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/04	Supplemental Declaration for Utility or Design Patent Application (37 CFR 1.67)	sb0104.pdf	http://www.uspto.gov/forms/sb0004.pdf	Yes	Yes	Fillable Fileable Signable
Form	PTO/SB/AIA/08	Declaration for Utility or Design Patent Application (37 CFR 1.63)	aia0008.pdf	http://www.uspto.gov/forms/aia0008.pdf	Yes	Yes	Fillable Fileable Signable
Form	PTO/SB/AIA/10	Supplemental Sheet for Declaration	aia0010.pdf	http://www.uspto.gov/forms/aia0010.pdf	Yes	Yes	Fillable Fileable Signable
Form	PTO/SB/AIA/02	Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64)	aia0002.pdf	http://www.uspto.gov/forms/aia0002.pdf	Yes	Yes	Fillable Fileable Signable
Form	PTO/SB/AIA/11	Substitute Statement Supplemental Sheet	aia0011.pdf	http://www.uspto.gov/forms/aia0011.pdf	Yes	Yes	Fillable Fileable Signable
Form	PTO/SB/AIA/01	Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76)	aia0001cn.pdf	http://www.uspto.gov/forms/aia0001cn.pdf	Yes	Yes	Fillable Fileable Signable
Form	PTO/SB/AIA/01	Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76)	aia0001nl.pdf	http://www.uspto.gov/forms/aiaooo1nl.pdf	Yes	Yes	Fillable Fileable Signable
Form	PTO/SB/AIA/01	Declaration (37 CFR 1.63) for Utility or Design Application Using on Application Data Sheet (37 CFR 1.76)	aia0001fr.pdf	http://www.uspto.gov/forms/aiaooo1fr.pdf	Yes	Yes	Fillable Fileable Signable
Form	PTO/SB/AIA/01	Declaration (37 CFR 1.63) for Utility or Design Application Using An Application Data Sheet (37 CFR 1.76)	aia0001de.pdf	http://www.uspto.gov/forms/aia0001de.pdf	Yes	Yes	Fillable Fileable Signable
Form	PTO/SB/AIA/01	Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76)	aia0001it.pdf	http://www.uspto.gov/forms/aia0001it.pdf	Yes	Yes	Fillable Fileable Signable
Form	PTO/SB/AIA/01	Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76)	aia0001jp.pdf	http://www.uspto.gov/forms/aia0001jp.pdf	Yes	Yes	Fillable Fileable Signable
Form	PTO/SB/AIA/01	Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76)	aia0001kr.pdf	http://www.uspto.gov/forms/aia0001kr.pdf	Yes	Yes	Fillable Fileable Signable
Form	PTO/SB/AIA/01	Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76)	aia0001ru.pdf	http://www.uspto.gov/forms/aia0001ru.pdf	Yes	Yes	Fillable Fileable Signable
Form	PTO/SB/AIA/01	Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76)	aia0001es.pdf	http://www.uspto.gov/forms/aia0001es.pdf	Yes	Yes	Fillable Fileable Signable
Form	PTO/SB/AIA/01	Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76)	aia0001se.pdf	http://www.uspto.gov/forms/aia0001se.pdf	Yes	Yes	Fillable Fileable Signable
Form	PTO/SB/AIA/02	Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR1.64)	aia0002cn.pdf	http://www.uspto.gov/forms/aia0002cn.pdf	Yes	Yes	Fillable Fileable Signable
Form	PTO/SB/AIA/02	Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64)	aia0002nl.pdf	http://www.uspto.gov/forms/aia0002nl.pdf	Yes	Yes	Fillable Fileable Signable
Form	PTO/SB/AIA/02	Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64)	aia0002fr.pdf	http://www.uspto.gov/forms/aia0002fr.pdf	Yes	Yes	Fillable Fileable Signable
Form	PTO/SB/AIA/02	Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64)	aia0002de.pdf	http://www.uspto.gov/forms/aia0002de.pdf	Yes	Yes	Fillable Fileable Signable
Form	PTO/SB/AIA/02	Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64)	aia0002it.pdf	http://www.uspto.gov/forms/aia0002it.pdf	Yes	Yes	Fillable Fileable Signable
Form	PTO/SB/AIA/02	Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64)	aia0002jp.pdf	http://www.uspto.gov/forms/aia0002jp.pdf	Yes	Yes	Fillable Fileable Signable
Form	PTO/SB/AIA/2	Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64)	aia0002kr.pdf	http://www.uspto.gov/forms/aia0002kr.pdf	Yes	Yes	Fillable Fileable Signable
Form	PTO/SB/AIA/02	Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64)	aia0002ru.pdf	http://www.uspto.gov/forms/aia0002ru.pdf	Yes	Yes	Fillable Fileable Signable
Form	PTO/SB/AIA/02	Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64)	aia0002es.pdf	http://www.uspto.gov/forms/aia0002es.pdf	Yes	Yes	Fillable Fileable Signable
Form	PTO/SB/AIA/02	Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64)	aia0002se.pdf	http://www.uspto.gov/forms/aia0002se.pdf	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: 100

Number of Respondents for Small Entity: 25

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	700	700
Annual IC Cost Burden (Dollars)	1,999	1,999

Documents for IC

table that charts IC Documents
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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.