Information Collection

Transmittal Form (Individuals And Households)

IC 181563 under ICR 202303-0651-001 · OMB 0651-0031.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0651-0031 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form PTO/SB/21 Transmittal Form (Individuals And Households)	Form and Instruction
Form PTO/SB/21 Transmittal Form (Individuals And Households)	Form and Instruction
PTO/SB/21 Transmittal Form PTOSB21.pdf www.uspto.gov/web/forms/sb0021.pdf	Form and Instruction
PTO/SB/21 Transmittal Form PTOSB21.pdf www.uspto.gov/web/forms/sb0021.pdf	Form and Instruction

IC Title:

Transmittal Form (Individuals And Households)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 37 CFR 1.136(a)

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	PTO/SB/21	Transmittal Form	PTOSB21.pdf	http://www.uspto.gov/web/forms/sb0021.pdf	Yes	Yes	Fillable Fileable Signable

Line of Business: Economic Development

Subfunction: Intellectual Property Protection

Privacy Act System of Records

Title: Patent Application Files

FR Citation: 78 FR 19243

Number of Respondents: 20,506

Number of Respondents for Small Entity: 20,506

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	20,506	20,506
Annual IC Time Burden (Hours)	41,012	41,012
Annual IC Cost Burden (Dollars)	412,500	412,500

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.