PTO/SB/29A For Design Applications Only Receipt for Facsimile Trans

PTO/SB/29A (07-07)
Approved for use through 01/31/2014. OMB 0651-0032
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.

If this RECEIPT is included with a request for a CPA filed by facsimile
transmission, it will be date stamped and mailed to the ADDRESS in item 1.

1. ADDRESS

Applicant’s Mailing Address for this receipt must be
CLEARLY PRINTED or TYPED in the box below.

FOR DESIGN APPLICATIONS ONLY
RECEIPT
FOR
FACSIMILE TRANSMITTED
CPA
(To accompany a request for

a Continued Prosecution Application (CPA)

under 37 CFR 1.53(d)

filed by facsimile transmission)

NOTE: By this receipt, the USPTO (a) acknowledges that a
request for a CPA in a design application was filed by facsimile transmission on
the date stamped below by the USPTO and (b) verifies only that the application number provided
by the applicant on this receipt is the same as the application number provided on the
accompanying request for a CPA. This receipt CANNOT be used to acknowledge receipt of any
paper(s) other than the request for a CPA.
2. APPLICATION IDENTIFICATION:
(Provide at least enough information to identify the application)

a. For prior application
Application No:

………………………………………….....………..…………...

Filing Date:

………………………………………….....………..…………...

Title:

………………………………………….....………..…………...

Attorney Docket No:

………………………………………….....………..…………...

First Named Inventor:

………………………………………….....………..…………...

b. For instant CPA application
New Attorney Docket No: ………………………………………….....………..…………...
(if applicable)

The USPTO date stamp, which appears in the box to the
right, is an acknowledgement by the USPTO of receipt of
a request for a CPA filed by facsimile transmission on
the date indicated below.

(THIS AREA FOR PTO DATE STAMP USE)

USPTO HANDLING INSTRUCTIONS:
Please stamp area to the right with the date the complete
transmission of the request for a CPA was received in the USPTO
and also include the USPTO organization name that provided the
date stamp (stamp may include both items). Verify that the
application number provided by applicant on this receipt is the same
as the application number provided by applicant on the request for a
CPA accompanying this receipt. If there is an inconsistency
between the application number provided on this receipt and the
request for a CPA, strike through the inconsistent application
number provided on this receipt and insert the correct application
number, if possible. Then place in a window envelope and mail.
This collection of information is required by 37 CFR 1.8. 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 1.14. This collection is estimated to take 24 minutes 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: Commissioner for Patents, P.O. Box 1450, Alexandria, VA 22313-1450.
If you need assistance in completing the form, call 1-800-PTO-9199 (1-800-786-9199) and select option 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.