PTO/SB/56 Reissue Application Fee Transmittal Fee

PTO/SB/56 (03‐13) 
   for use
  through
  XX/XXXX. OMB 0651‐0033 
Approved
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. 

Docket Number (Optional) 

REISSUE APPLICATION FEE TRANSMITTAL FORM 

Total Claims 
(37 CFR 1.16(i)) 
Ind. Claims 
(37 CFR 1.16(h)) 
Application Size 
Fee 
(37 CFR 1.16(s)) 

Total Claims 
(37 CFR 1.16(i)) 
Ind. Claims 
(37 CFR 1.16(h)) 
Application Size 
Fee 
(37 CFR 1.16(s)) 

Application as Filed – Part 1
Micro Entity

(1) 
Claims 
in 
Patent 

(2) 
Claims Filed 
in Reissue 
Application 

(A) 

(B) 

*                = 

x              = 

(C) 

(D) 

**              = 

x              = 

(3) 
Number 
Extra 

Rate ($)

Fee ($)

Small Entity

Undiscounted

Rate ($)

Fee ($) 

x                 = 

x              = 

x                 = 

x              = 

If the specification and drawings exceed 100 sheets of 
paper, the application size fee due is $400 ($200 for small 
entity, $100 for micro entity) for each additional 50 sheets 
or fraction thereof. See 35 U.S.C. 41(a)(1)(G) and 37 CFR 
1.16(s). 

Filing Fee (37 CFR 1.16(e))
Search Fee (37 CFR 1.16(n))
Examination Fee (37 CFR 1.16(r))
Total Filing Fee 
Application as Amended – Part 2
(1) 
(2) 
(3)
Micro Entity
Claims 
Highest 
Extra 
Rate ($)
Fee ($)
Remaining 
Number 
Claims 
After 
Previously  Present 
Amendment 
Paid For 

Rate ($) 

Fee ($)

Small Entity
Rate ($)

Undiscounted

Fee ($) 

Rate ($) 

Fee ($)

***         

 ‐ 

**** 

= 

x              = 

x                 = 

x              = 

***         

 ‐ 

***** 

= 

x              = 

x                 = 

x              = 

If the specification and drawings exceed 
100 sheets of paper, the application size 
fee due is $400 ($200 for small entity, $100 
for micro entity) for each additional 50 
sheets or fraction thereof. See 35 U.S.C. 
41(a)(1)(G) and 37 CFR 1.16(s). 

Total Additional Fee
*          Enter (B) – 20, or enter “0” if (B) is less than 20.
**        Enter (D) – minus 3, or enter “0” if (D) is less than 3. 
***      After any cancellation of claims. 
****    If the “Highest Number of Total Claims Previously Paid For” is less than 20, enter “20” in this space. 
*****  If the “Highest Number of Independent Claims Previously Paid For” is less than 3, enter “3” in this space. 
          Applicant asserts small entity status. See 37 CFR 1.27. 

          Applicant certifies micro entity status. See 37 CFR 1.29. 
          Form PTO/SB/15A or B or equivalent must either be enclosed or have been submitted previously. 
          The Director is hereby authorized to charge any additional fees under 37 CFR 1.16 or 1.17 which may be required, or credit any 
          overpayment to Deposit Account No. ______________________. 
          A check in the amount of $ __________ to cover the filing/additional fee is enclosed. 
          Payment made via EFS‐Web. 
          Payment by credit card. Form PTO‐2038 is attached. WARNING:  Information on this form may become public. Credit card information 
          should not be included on this form. Provide credit card information and authorization on PTO‐2038. 
          __________________________________________________                    _______________________________________ 
                                           Signature                                                                                                                Date 
          __________________________________________________                    _______________________________________ 
                                  Typed or Printed Name                                                                           Registration Number, if applicable 
                                                                                                                                            _______________________________________ 
                                                                                                                                                                      Telephone Number
This collection of information is required by 37 CFR 1.16. The information is required to obtain or retain a benefit by the public which is to file (and by the USPTO 
   an application.
  Confidentiality
    is governed
   by  35 U.S.C.
  122
  and
   37 CFR
  1.11,
  1.14
  and
  41.6.
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  collection
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to process)

    form

  USPTO.
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  case. Any  
complete,  including  gathering,  preparing,
and submitting
the completed
application
to the

  the
  amount

  of time
   you require
  to  complete

  form and/or
  suggestions

  for  reducing
  this burden,

     be sent
  to the Chief
  Information

  Officer,

comments
on
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should

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  P.O. Box 1450,
    Alexandria,  VA 22313‐1450.

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Office, U.S.
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