Representative and Address Provisions

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form PTO/AIA/80 Power of Attorney to Prosecute Applications Before the USPTO	Form	Modified	Available
Form PTO/SB/80 Power of Attorney to Prosecute Applications Before the USPTO	Form	Modified	Available
Form PTO/SB/80 Power of Attorney to Prosecute Applications Before the USPTO	Form	Modified	Repair queued
Form PTO-2248 Request to Update a PCT Application with a Customer Number	Form	New	Available
Form PTO-2248 Request to Update a PCT Application with a Customer Number (Individuals or Households)	Form	New	Available
Form PTO-2248 Request to Update a PCT Application with a Customer Number	Form	New	Available
Form PTO-2248 Request to Update a PCT Application with a Customer Number	Form	New	Repair queued
Form PTO/SB/125 Request for Customer Number	Form	New	Available
Form PTO/SB/125 Request for Customer Number (Individuals or Households)	Form	New	Repair queued
Form PTO/SB/125 Request for Customer Number	Form	New	Available
Form PTO/SB/125 Request for Customer Number	Form	New	Repair queued
Form PTO/SB/124 Request for Customer Number Data Change	Form	Modified	Available
Form PTO/SB/124 Request for Customer Number Data Change (Individuals or Households)	Form	Modified	Repair queued
Form PTO/SB/124 Request for Customer Number Data Change	Form	Modified	Available
Form PTO/SB/124 Request for Customer Number Data Change	Form	Modified	Repair queued
Form PTO/SB/83 Request for Withdrawal as Attorney or Agent and Change of Correspondence Address	Form	Modified	Available
Form PTO/AIA/83 Request for Withdrawal as Attorney or Agent and Change of Correspondence Address	Form	Modified	Available
Form PTO/AIA/83 Request for Withdrawal as Attorney or Agent and Change of Correspondence Address (Individuals or Households)	Form	Modified	Repair queued
Form PTO/SB/83 Request for Withdrawal as Attorney or Agent and Change of Correspondence Address	Form	Modified	Available
Form PTO/AIA/83 Request for Withdrawal as Attorney or Agent and Change of Correspondence Address	Form	Modified	Available
Form PTO/AIA/83 Request for Withdrawal as Attorney or Agent and Change of Correspondence Address	Form	Modified	Repair queued
Form PTO/SB/81C Reexamination – Third Party Requester Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address	Form	Modified	Available
Form PTO/SB/81C Reexamination – Third Party Requester Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address (Individuals or Households)	Form	Modified	Repair queued
Form PTO/SB/81C Reexamination – Third Party Requester Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address	Form	Modified	Available
Form PTO/SB/81C Reexamination – Third Party Requester Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address	Form	Modified	Repair queued
Form PTO/SB/81B Reexamination – Patent Owner Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address	Form	Modified	Repair queued
Form PTO/AIA/81B Reexamination – Patent Owner Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address	Form	Modified	Available
Form PTO/AIA/81B Reexamination – Patent Owner Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address (Individuals or Households)	Form	Modified	Repair queued
Form PTO/SB/81B Reexamination – Patent Owner Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address	Form	Modified	Available
Form PTO/AIA/81B Reexamination – Patent Owner Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address	Form	Modified	Available
Form PTO/AIA/81B Reexamination – Patent Owner Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address	Form	Modified	Repair queued
Form PTO/SB/81A Patent – Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address	Form	Modified	Repair queued
Form PTO/AIA/81A Patent – Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address	Form	Modified	Repair queued
Form PTO/SB/81 Patent – Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address	Form	Modified	Available
Form PTO/AIA/81 Power of Attorney to One or More of The Joint Inventors and Change of Correspondence Address	Form	Modified	Available
Form PTO/AIA/81 Patent – Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address (Individuals or Households)	Form	Modified	Available
Form PTO/SB/81A Patent – Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address	Form	Modified	Repair queued
Form PTO/AIA/81A Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address	Form	Modified	Repair queued
Form PTO/SB/81 Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address	Form	Modified	Available
Form PTO/AIA/81 Power of Attorney to One or More of The Joint Inventors and Change of Correspondence Address	Form	Modified	Available
Form PTO/AIA/81 Patent – Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address	Form	Modified	Repair queued
Form PTO/AIA/82A/B/C Transmittal for Power of Attorney to One or More Registered Practitioners/Power of Attorney by Applicant	Form	Modified	Available
Form PTO/AIA/82A/B/C Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence (Individuals or Households)	Form	Modified	Repair queued
Form PTO/AIA/82A/B/C Transmittal for Power of Attorney to One or More Registered Practitioners/Power of Attorney by Applicant	Form	Modified	Available
Form PTO/AIA/82A/B/C Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence	Form	Modified	Repair queued
Form PTO/AIA/80 Power of Attorney to Prosecute Applications Before the USPTO	Form	Modified	Available
Form PTO/SB/80 Power of Attorney to Prosecute Applications Before the USPTO	Form	Modified	Available
Form PTO/SB/80 Power of Attorney to Prosecute Applications Before the USPTO (Individuals or Households)	Form	Modified	Repair queued
0651-0035 Supporting Statement 2021.docx	Supporting Statement A	Uploaded 2021-03-29	Repair queued
USPTO Information Quality Guidelines.pdf	Supplementary Document	Uploaded 2021-03-26	Repair queued
Leahy Smith America Invents Act.pdf	Supplementary Document	Uploaded 2021-03-26	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
4741	Power of Attorney to Prosecute Applications Before the USPTO	Form	Modified	Power of Attorney to Prosecute Applications Before the USPTO
4741	Power of Attorney to Prosecute Applications Before the USPTO	Form	Modified	Power of Attorney to Prosecute Applications Before the USPTO
4741	Power of Attorney to Prosecute Applications Before the USPTO	Form	Modified
246147	Request to Update a PCT Application with a Customer Number (Individuals or Households)	Form	New	Request to Update a PCT Application with a Customer Number
246147	Request to Update a PCT Application with a Customer Number (Individuals or Households)	Form	New
246146	Request to Update a PCT Application with a Customer Number	Form	New	Request to Update a PCT Application with a Customer Number
246146	Request to Update a PCT Application with a Customer Number	Form	New
246145	Customer Number Upload Spreadsheet (Individuals or Households)		New
246144	Customer Number Upload Spreadsheet		New
246143	Request for Customer Number (Individuals or Households)	Form	New	Request for Customer Number
246143	Request for Customer Number (Individuals or Households)	Form	New
246142	Request for Customer Number	Form	New	Request for Customer Number
246142	Request for Customer Number	Form	New
187264	Request for Customer Number Data Change (Individuals or Households)	Form	Modified	Request for Customer Number Data Change
187264	Request for Customer Number Data Change (Individuals or Households)	Form	Modified
187263	Request for Customer Number Data Change	Form	Modified	Request for Customer Number Data Change
187263	Request for Customer Number Data Change	Form	Modified
187262	Petition to Waive 37 CFR 1.32(b)(4) and Grant Power of Attorney by Fewer than All the Applicants		Modified
187260	Petition Under 37 CFR 1.36(a) to Revoke Power of Attorney by Fewer than All the Applicants		Modified
187259	Request for Withdrawal as Attorney or Agent and Change of Correspondence Address (Individuals or Households)	Form	Modified	Request for Withdrawal as Attorney or Agent and Change of Correspondence Address
187259	Request for Withdrawal as Attorney or Agent and Change of Correspondence Address (Individuals or Households)	Form	Modified	Request for Withdrawal as Attorney or Agent and Change of Correspondence Address
187259	Request for Withdrawal as Attorney or Agent and Change of Correspondence Address (Individuals or Households)	Form	Modified
186503	Request for Withdrawal as Attorney or Agent and Change of Correspondence Address	Form	Modified	Request for Withdrawal as Attorney or Agent and Change of Correspondence Address
186503	Request for Withdrawal as Attorney or Agent and Change of Correspondence Address	Form	Modified	Request for Withdrawal as Attorney or Agent and Change of Correspondence Address
186503	Request for Withdrawal as Attorney or Agent and Change of Correspondence Address	Form	Modified
186502	Reexamination – Third Party Requester Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address (Individuals or Households)	Form	Modified	Reexamination – Third Party Requester Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address
186502	Reexamination – Third Party Requester Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address (Individuals or Households)	Form	Modified
186501	Reexamination – Third Party Requester Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address	Form	Modified	Reexamination – Third Party Requester Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address
186501	Reexamination – Third Party Requester Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address	Form	Modified
186500	Reexamination – Patent Owner Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address (Individuals or Households)	Form	Modified	Reexamination – Patent Owner Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address
186500	Reexamination – Patent Owner Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address (Individuals or Households)	Form	Modified	Reexamination – Patent Owner Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address
186500	Reexamination – Patent Owner Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address (Individuals or Households)	Form	Modified
186499	Reexamination – Patent Owner Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address	Form	Modified	Reexamination – Patent Owner Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address
186499	Reexamination – Patent Owner Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address	Form	Modified	Reexamination – Patent Owner Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address
186499	Reexamination – Patent Owner Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address	Form	Modified
186498	Patent – Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address (Individuals or Households)	Form	Modified	Patent – Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address
186498	Patent – Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address (Individuals or Households)	Form	Modified	Patent – Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address
186498	Patent – Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address (Individuals or Households)	Form	Modified	Patent – Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address
186498	Patent – Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address (Individuals or Households)	Form	Modified	Power of Attorney to One or More of The Joint Inventors and Change of Correspondence Address
186498	Patent – Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address (Individuals or Households)	Form	Modified
186497	Patent – Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address	Form	Modified	Patent – Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address
186497	Patent – Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address	Form	Modified	Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address
186497	Patent – Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address	Form	Modified	Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address
186497	Patent – Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address	Form	Modified	Power of Attorney to One or More of The Joint Inventors and Change of Correspondence Address
186497	Patent – Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address	Form	Modified
186496	Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence (Individuals or Households)	Form	Modified	Transmittal for Power of Attorney to One or More Registered Practitioners/Power of Attorney by Applicant
186496	Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence (Individuals or Households)	Form	Modified
186495	Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence	Form	Modified	Transmittal for Power of Attorney to One or More Registered Practitioners/Power of Attorney by Applicant
186495	Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence	Form	Modified
178322	Power of Attorney to Prosecute Applications Before the USPTO (Individuals or Households)	Form	Modified	Power of Attorney to Prosecute Applications Before the USPTO
178322	Power of Attorney to Prosecute Applications Before the USPTO (Individuals or Households)	Form	Modified	Power of Attorney to Prosecute Applications Before the USPTO
178322	Power of Attorney to Prosecute Applications Before the USPTO (Individuals or Households)	Form	Modified

ICR Details

OMB Control No: 0651-0035	ICR Reference No: 202103-0651-001
Status: Historical Active	Previous ICR Reference No: 201801-0651-002
Agency/Subagency: DOC/PTO	Agency Tracking No:
Title: Representative and Address Provisions
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 05/17/2021
Retrieve Notice of Action (NOA)	Date Received in OIRA: 04/06/2021
Terms of Clearance: Approval granted for 6 months, USPTO should resubmit for the full 3-year renewal request. Public comments that were submitted will be carried over and continued to be considered during the renewal review.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2021	36 Months From Approved
Responses	226,573	0	0
Time Burden (Hours)	13,641	0	0
Cost Burden (Dollars)	26,241	0	0

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Abstract: The public uses this information collection to grant or revoke power of attorney, to withdraw as attorney or agent of record, to authorize a practitioner to act in a representative capacity, to change a correspondence address, to request a Customer Number, and to change the data associated with a Customer Number. The USPTO's Customer Number practice permits applicants, assignees, practitioners of record, and third party requesters to change the correspondence address or representatives of record for a number of applications, patents, or reexamination proceedings with one change request instead of filing separate requests for each application, patent, or reexamination proceeding. The USPTO uses the information in this collection to determine who is authorized to take action in an application, patent, or reexamination proceeding and where to send correspondence regarding an application, patent, or reexamination proceeding.

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Authorizing Statute(s): PL: Pub.L. 344 - 788 98877 Name of Law: America Invents Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 4003	01/15/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 16702	03/31/2021
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 22

table that charts list of burden

IC Title	Form No.	Form Name
Customer Number Upload Spreadsheet
Customer Number Upload Spreadsheet (Individuals or Households)
Patent – Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address	PTO/AIA/81, PTO/SB/81 , PTO/AIA/81A, PTO/SB/81A	Power of Attorney to One or More of The Joint Inventors and Change of Correspondence Address ,   Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address ,   Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address ,   Patent – Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address
Patent – Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address (Individuals or Households)	PTO/AIA/81, PTO/SB/81, PTO/AIA/81A, PTO/SB/81A	Power of Attorney to One or More of The Joint Inventors and Change of Correspondence Address ,   Patent – Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address ,   Patent – Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address ,   Patent – Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address
Petition Under 37 CFR 1.36(a) to Revoke Power of Attorney by Fewer than All the Applicants
Petition to Waive 37 CFR 1.32(b)(4) and Grant Power of Attorney by Fewer than All the Applicants
Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence	PTO/AIA/82A/B/C	Transmittal for Power of Attorney to One or More Registered Practitioners/Power of Attorney by Applicant
Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence (Individuals or Households)	PTO/AIA/82A/B/C	Transmittal for Power of Attorney to One or More Registered Practitioners/Power of Attorney by Applicant
Power of Attorney to Prosecute Applications Before the USPTO	PTO/SB/80, PTO/AIA/80	Power of Attorney to Prosecute Applications Before the USPTO ,   Power of Attorney to Prosecute Applications Before the USPTO
Power of Attorney to Prosecute Applications Before the USPTO (Individuals or Households)	PTO/SB/80, PTO/AIA/80	Power of Attorney to Prosecute Applications Before the USPTO ,   Power of Attorney to Prosecute Applications Before the USPTO
Reexamination – Patent Owner Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address	PTO/SB/81B, PTO/AIA/81B	Reexamination – Patent Owner Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address ,   Reexamination – Patent Owner Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address
Reexamination – Patent Owner Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address (Individuals or Households)	PTO/AIA/81B , PTO/SB/81B	Reexamination – Patent Owner Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address ,   Reexamination – Patent Owner Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address
Reexamination – Third Party Requester Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address	PTO/SB/81C	Reexamination – Third Party Requester Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address
Reexamination – Third Party Requester Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address (Individuals or Households)	PTO/SB/81C	Reexamination – Third Party Requester Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address
Request for Customer Number	PTO/SB/125	Request for Customer Number
Request for Customer Number (Individuals or Households)	PTO/SB/125	Request for Customer Number
Request for Customer Number Data Change	PTO/SB/124	Request for Customer Number Data Change
Request for Customer Number Data Change (Individuals or Households)	PTO/SB/124	Request for Customer Number Data Change
Request for Withdrawal as Attorney or Agent and Change of Correspondence Address	PTO/AIA/83 , PTO/SB/83	Request for Withdrawal as Attorney or Agent and Change of Correspondence Address ,   Request for Withdrawal as Attorney or Agent and Change of Correspondence Address
Request for Withdrawal as Attorney or Agent and Change of Correspondence Address (Individuals or Households)	PTO/AIA/83, PTO/SB/83	Request for Withdrawal as Attorney or Agent and Change of Correspondence Address ,   Request for Withdrawal as Attorney or Agent and Change of Correspondence Address
Request to Update a PCT Application with a Customer Number	PTO-2248	Request to Update a PCT Application with a Customer Number
Request to Update a PCT Application with a Customer Number (Individuals or Households)	PTO-2248	Request to Update a PCT Application with a Customer Number

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	226,573	0	0	-129,999	-145,333	501,905
Annual Time Burden (Hours)	13,641	0	0	-6,499	-8,340	28,480
Annual Cost Burden (Dollars)	26,241	0	0	-1,274	13,565	13,950

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: Program Changes Due to Agency Discretion With this renewal the USPTO has removed three lines from the information collection that dealt solely with change of address provisions; including 130,065 responses, 6,502 burden hours and $1,274 non-hourly cost burdens. The following items are considered exempt from the PRA under 5 CFR 1320.3(h)(1) and removed from the information collection: • Change of Correspondence Address-Application; PTO/SB/122 • Change of Correspondence Adress-Patent; PTO/SB/123 • Patent Owner Change of Correspondence Address-Reexamintion Proceeding; PTO/SB/123A Changes in Responses and Burden Hours due to Agency Estimate • For this renewal, the USPTO estimates that the annual responses will decrease by 145,333 and the total burden hours will decrease by 8,340. These changes are due to the expected volumes estimated by the USPTO based on historical submission volumes. Changes in Annual (Non-hour) Costs due to Agency Estimate For this renewal, the USPTO estimates that the total annual (non-hour) costs will increase by $13,565 (from $13,950.74 to $26,241), with the increase resulting from agency adjustments due to: • The increase is due to the increased postage rates associated with this information collection. The previous postage rate was $0.49 in 2018 and is now estimated at $8.05. However, the overall percentage of items being mailed continues to decrease as the public increasingly adopts electronic submission.

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Annual Cost to Federal Government: $1,379,204

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 04/06/2021

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