Form PTO/SB/64/PCT Petition for Revival of an International Application for

Doc Code:

PTO/SB/64/PCT (04-10)
Approved for use through 04/30/2013. OMB 0651-0021
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.

PETITION FOR REVIVAL OF AN INTERNATIONAL APPLICATION FOR PATENT
DESIGNATING THE U.S. ABANDONED UNINTENTIONALLY UNDER 37 CFR 1.137(b)

Docket Number
(Optional)

First Named Inventor:
U.S. Application No.:
(if known)

International (PCT) Application No.:
Filed:
Title:

Attention: PCT Legal Staff
Mail Stop PCT
Commissioner for Patents
P.O. Box 1450
Alexandria, VA 22313-1450
The above-identified application became abandoned as to the United States because the fees and documents
required by 35 U.S.C. 371(c) were not filed prior to the expiration of the time set in 37 CFR 1.495(b) or (c) as
applicable. The date of abandonment is the day after the date on which the 35 U.S.C. 371(c) requirements were
due. See 37 CFR 1.495(h).
APPLICANT HEREBY PETITIONS FOR REVIVAL OF THIS APPLICATION
NOTE: A grantable petition requires the following items:
(1) Petition fee
(2) Proper reply
(3) Terminal disclaimer with disclaimer fee which is required for all international applications
having an international filing date before June 8, 1995; and
(4) Statement that the entire delay was unintentional.
1. Petition fee
Small entity - fee $____________(37 CFR 1.17(m)). Applicant claims small entity status.
See 37 CFR 1.27.
Other than small entity - fee $__________(37 CFR 1.17(m))
2. Proper reply
A. The proper reply (the missing 35 U.S.C. 371(c) requirement(s)) in the form of
___________________________________________ (identify type of reply):
has been filed previously on ____________________________________.
is enclosed herewith.
[Page 1 of 2]

This collection of information is required by 37 CFR 1.137(b). 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 1.0 hour 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. SEND TO: Mail Stop PCT, Commissioner for Patents, P.O. Box 1450, Alexandria, VA 22313-1450.
If you need assistance in completing the form, call 1-800-PTO-9199 and select option 2.

Doc Code:

PTO/SB/64/PCT (04-10)
Approved for use through 04/30/2013. OMB 0651-0021
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.

3. Terminal disclaimer with disclaimer fee
Since this international application has an international filing date on or after June 8, 1995, no terminal disclaimer
is required.
A terminal disclaimer (and disclaimer fee (37 CFR 1.20(d)) of $ _____________ for a small entity or
$___________ for other than a small entity) disclaiming the required period of time is enclosed herewith
(see PTO/SB/63).
4. Statement. The entire delay in filing the required reply from the due date for the required reply until the

filing of a grantable petition under 37 CFR 1.137(b) was unintentional.

WARNING:

Petitioner/applicant is cautioned to avoid submitting personal information in documents filed in a patent application that
may contribute to identity theft. Personal information such as social security numbers, bank account numbers, or credit
card numbers (other than a check or credit card authorization form PTO-2038 submitted for payment purposes) is never
required by the USPTO to support a petition or an application. If this type of personal information is included in documents
submitted to the USPTO, petitioners/applicants should consider redacting such personal information from the documents
before submitting them to the USPTO. Petitioner/applicant is advised that the record of a patent application is available to
the public after publication of the application (unless a non-publication request in compliance with 37 CFR 1.213(a) is
made in the application) or issuance of a patent. Furthermore, the record from an abandoned application may also be
available to the public if the application is referenced in a published application or an issued patent (see 37 CFR 1.14).
Checks and credit card authorization forms PTO-2038 submitted for payment purposes are not retained in the application
file and therefore are not publicly available.

Signature

Date

Typed or Printed Name

Registration Number, if applicable

Address

Telephone Number

Address
Enclosures:

Response
Fee Payment
Terminal Disclaimer
Other (please identify):

[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 submission of the attached form related to a patent application or patent. Accordingly,
pursuant to the requirements of 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) furnishing of the information solicited is voluntary;
and (3) the principal purpose for which the information is used by the U.S. Patent and Trademark
Office is to process and/or examine your submission related to a patent application or patent. If you do
not furnish the requested information, the U.S. Patent and Trademark Office may not be able to
process and/or examine your submission, which may result in termination of proceedings or
abandonment of the application or expiration of the patent.
The information provided by you in this form will be subject to the following routine uses:
1. The information on this form will be treated confidentially to the extent allowed under the
Freedom of Information Act (5 U.S.C. 552) and the Privacy Act (5 U.S.C 552a). Records from
this system of records may be disclosed to the Department of Justice to determine whether
disclosure of these records is required by the Freedom of Information Act.
2. A record from this system of records may be disclosed, as a routine use, in the course of
presenting evidence to a court, magistrate, or administrative tribunal, including disclosures to
opposing counsel in the course of settlement negotiations.
3. A record in this system of records may be disclosed, as a routine use, to a Member of
Congress submitting a request involving an individual, to whom the record pertains, when the
individual has requested assistance from the Member with respect to the subject matter of the
record.
4. A record in this system of records may be disclosed, as a routine use, to a contractor of the
Agency having need for the information in order to perform a contract. Recipients of
information shall be required to comply with the requirements of the Privacy Act of 1974, as
amended, pursuant to 5 U.S.C. 552a(m).
5. A record related to an International Application filed under the Patent Cooperation Treaty in
this system of records may be disclosed, as a routine use, to the International Bureau of the
World Intellectual Property Organization, pursuant to the Patent Cooperation Treaty.
6. A record in this system of records may be disclosed, as a routine use, to another federal
agency for purposes of National Security review (35 U.S.C. 181) and for review pursuant to
the Atomic Energy Act (42 U.S.C. 218(c)).
7. A record from this system of records may be disclosed, as a routine use, to the Administrator,
General Services, or his/her designee, during an inspection of records conducted by GSA as
part of that agency’s responsibility to recommend improvements in records management
practices and programs, under authority of 44 U.S.C. 2904 and 2906. Such disclosure shall
be made in accordance with the GSA regulations governing inspection of records for this
purpose, and any other relevant (i.e., GSA or Commerce) directive. Such disclosure shall not
be used to make determinations about individuals.
8. A record from this system of records may be disclosed, as a routine use, to the public after
either publication of the application pursuant to 35 U.S.C. 122(b) or issuance of a patent
pursuant to 35 U.S.C. 151. Further, a record may be disclosed, subject to the limitations of 37
CFR 1.14, as a routine use, to the public if the record was filed in an application which
became abandoned or in which the proceedings were terminated and which application is
referenced by either a published application, an application open to public inspection or an
issued patent.
9. A record from this system of records may be disclosed, as a routine use, to a Federal, State,
or local law enforcement agency, if the USPTO becomes aware of a violation or potential
violation of law or regulation.