Supplemental Examination Request

Patent Reexaminations and Supplemental Examinations

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0651-0064 can be found here:

Documents and Forms

Document Name Document Type

no available documents/forms check other ICs listed under this ICR

Information Collection (IC) Details

IC Title:	Supplemental Examination Request	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Removed

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 37 CFR 1.26(c)(3)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Economic Development

Subfunction: Intellectual Property Protection

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,720	Number of Respondents for Small Entity: 200

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

Percentage of Respondents Reporting Electronically: 97 %

	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-1,720	1,720
Annual IC Time Burden (Hours)	-43,516	43,516
Annual IC Cost Burden (Dollars)	-6,831,000	6,831,000

Documents for IC

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.