Forms and Documents

Document Name	Status
Form PCT/RO/101 Request and Fee Calculation Sheet (Private Sector) Form and Instruction	Modified
Form PTO/SB/64/PCT Petition for Revival of an International Application for Patent Designating the U.S. Abandoned Unintentionally Under 37 CFR 1.137(a) (Individuals and Households) Form	New
Form PCT/IB/372 Withdrawal of international application (Individuals and Households) Form	New
Form PCT/IPEA/401 Demand and Fee Calculation Sheet (Annex and Notes) (Individuals and Households) Form and Instruction	New
Form PCT/RO/134 Indications Relating to a Deposited Microorganism (Individuals and Households) Form	New
PCT/Model of General Power of Attorney (Individuals and Households) Form	New
PCT/Model of Power of Attorney (Individuals and Households) Form	New
Form PTO-1390 Transmittal Letter to the United States Designated/Elected Office (DO/EO/US) Concerning a Submission Under 35 U.S.C. 371 (Individuals and Households) Form	New
Form PTO-1382 Transmittal Letter to the United States Receiving Office (RO/US) (Individuals and Households) Form	New
Form PCT/RO/101 Request and Fee Calculation Sheet (Individuals and Households) Form and Instruction	New
Form PTO/SB/64/PCT Petition for Revival of an International Application for Patent Designating the U.S. Abandoned Unintentionally Under 37 CFR 1.137(a) (Private Sector) Form	Modified
Form PCT/IB/372 Withdrawal of international application (Private Sector) Form	Modified
Form PCT/IPEA/401 Demand and Fee Calculation Sheet (Annex and Notes) (Private Sector) Form and Instruction	Modified
Form PCT/RO/134 Indications Relating to a Deposited Microorganism (Private Sector) Form	Modified
PCT/Model of General Power of Attorney (Private Sector) Form	Modified
PCT/Model of Power of Attorney (Private Sector) Form	Modified
Form PTO-1390 Transmittal Letter to the United States Designated/Elected Office (DO/EO/US) Concerning a Submission Under 35 U.S.C. 371 (Private Sector) Form	Modified
Form PTO-1382 Transmittal Letter to the United States Receiving Office (RO/US) (Private Sector) Form	Modified
0651-0021 Supporting Statement 10-12-22.docx Supporting Statement A	2022-10-18
USPTO Information Quality Guidelines.pdf Supplementary Document	2022-10-18
Patent Cooperation Treaty.pdf Supplementary Document	2022-10-18

IC Document Collections

IC ID	Document Title	Status
4689	Request and Fee Calculation Sheet (Private Sector) Form and Instruction	Modified
255390	Request for the restoration of the right of priority (Individuals and Households)	New
255389	Acceptance of an unintentionally delayed claim for priority (37 CFR 1.78(a)(3)) (Individuals and Households)	New
255388	Petitions to the Commissioner in national stage examination (Individuals and Households)	New
255387	Petitions to the Commissioner for international applications (Individuals and Households)	New
255386	Petition for Revival of an International Application for Patent Designating the U.S. Abandoned Unintentionally Under 37 CFR 1.137(a) (Individuals and Households) Form	New
255385	English Translations after thirty months from priority date (Individuals and Households)	New
255383	Withdrawal of international application (Individuals and Households) Form	New
255382	Requests to transmit copies of international application (Individuals and Households)	New
255380	Fee Authorization (Individuals and Households)	New
255379	Amendments (Article 34) (Individuals and Households)	New
255378	Demand and Fee Calculation Sheet (Annex and Notes) (Individuals and Households) Form and Instruction	New
255377	Request for rectification of obvious errors (Individuals and Households)	New
255362	Response to invitation to correct defects (Individuals and Households)	New
255361	Indications Relating to a Deposited Microorganism (Individuals and Households) Form	New
255359	PCT/Model of General Power of Attorney (Individuals and Households) Form	New
255358	PCT/Model of Power of Attorney (Individuals and Households) Form	New
255357	Transmittal Letter to the United States Designated/Elected Office (DO/EO/US) Concerning a Submission Under 35 U.S.C. 371 (Individuals and Households) Form	New
255356	Transmittal Letter to the United States Receiving Office (RO/US) (Individuals and Households) Form	New
255355	Application Data Sheet (35 U.S.C. 371 applications) (Individuals and Households)	New
255354	Description/claims/drawings/abstracts (Individuals and Households)	New
255353	Request and Fee Calculation Sheet (Individuals and Households) Form and Instruction	New
191415	Request for the restoration of the right of priority (Private Sector)	Modified
191414	Acceptance of an unintentionally delayed claim for priority (37 CFR 1.78(a)(3)) (Private Sector)	Modified
191413	Petitions to the Commissioner in national stage examination (Private Sector)	Modified
191412	Petitions to the Commissioner for international applications (Private Sector)	Modified
191411	Petition for Revival of an International Application for Patent Designating the U.S. Abandoned Unintentionally Under 37 CFR 1.137(a) (Private Sector) Form	Modified
191409	English Translations after thirty months from priority date (Private Sector)	Modified
191408	Withdrawal of international application (Private Sector) Form	Modified
191407	Requests to transmit copies of international application (Private Sector)	Modified
191406	Fee Authorization (Private Sector)	Modified
191405	Amendments (Article 34) (Private Sector)	Modified
191404	Demand and Fee Calculation Sheet (Annex and Notes) (Private Sector) Form and Instruction	Modified
191403	Request for rectification of obvious errors (Private Sector)	Modified
191402	Response to invitation to correct defects (Private Sector)	Modified
191401	Indications Relating to a Deposited Microorganism (Private Sector) Form	Modified
191398	PCT/Model of General Power of Attorney (Private Sector) Form	Modified
191397	PCT/Model of Power of Attorney (Private Sector) Form	Modified
191396	Transmittal Letter to the United States Designated/Elected Office (DO/EO/US) Concerning a Submission Under 35 U.S.C. 371 (Private Sector) Form	Modified
191395	Transmittal Letter to the United States Receiving Office (RO/US) (Private Sector) Form	Modified
191394	Application Data Sheet (35 U.S.C. 371 applications) (Private Sector)	Modified
191393	Description/claims/drawings/abstracts (Private Sector)	Modified

ICR Details

OMB Control No:	ICR Reference No:
Status:	Previous ICR Reference No:
Agency/Subagency:	Agency Tracking No:
Title:
Type of Information Collection:	Common Form ICR:
Type of Review Request:	Date Received in OIRA:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date
Responses	0	0	0
Time Burden (Hours)	0	0	0
Cost Burden (Dollars)	0	0	0

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Abstract:

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR?

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Number of Information Collection (IC) in this ICR: 0

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ICR Summary of Burden

	Total	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	0	0	0	0	0	0
Annual Time Burden (Hours)	0	0	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion:

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion:

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government:

Does this IC contain surveys, censuses, or employ statistical methods?

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.    

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.    

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?

Is this ICR related to the Pandemic Response?

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Common Form ICR: 

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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:

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