PTO/SB/02ES Declaration (Additional Inventors) and Supplemental Prio

PTO/SB/02A (07-07)

Aprobado para uso hasta el XX/XX/XXXX. OMB 0651-0032

Approved for use through XX/XX/XXXX. OMB 0651-0032

Oficina de Patentes y Marcas Registradas de los EE.UU.; DEPARTAMENTO DE COMERCIO DE LOS EE.UU.

U.S. Patent and Trademark Office; U.S. DEPARTMENT OF COMMERCE
Según la Ley de la Simplificación de los Procesos Administrativos, nadie tiene que responder a una recopilación de datos a menos que contenga un número de control OMB válido.
Under the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it contains a valid OMB control number.

INVENTOR(ES) ADICIONAL(ES)
ADDITIONAL INVENTOR(S)

DECLARACIÓN
DECLARATION

Hoja adicional
Supplemental Sheet

Nombre del inventor adicional, si existe alguno:
Name of Additional Joint Inventor, if any:

Página
Page

de
of

Se ha presentado una solicitud para este inventor sin firma
A petition has been filed for this unsigned inventor
Apellido:
Family Name or Surname

Nombre(s)
Given Name (first and middle (if any))

Firma del inventor
Inventor’s Signature

Fecha
Date

Domicio: Ciudad
Residence: City

Estado
State

País
Country

Nacionalidad
Citizenship

Dirección para recibir correspondencia
Mailing Address
Ciudad
City

Estado
State

Nombre del inventor adicional, si existe alguno:
Name of Additional Joint Inventor, if any:
Nombre(s)
Given Name (first and middle (if any))

Código Postal
Zip

País
Country

Se ha presentado una solicitud para este inventor sin firma
A petition has been filed for this unsigned inventor
Apellido
Family Name or Surname

Firma del inventor
Inventor’s Signature

Date
Date

Domicilio: Ciudad
Residence: City

Estado
State

País
Country

Nacionalidad
Citizenship

Mailing Address
Mailing Address
Ciudad
City

Estado
State

Nombre del inventor adicional, si existe alguno:
Name of Additional Joint Inventor, if any:
Nombre
Given Name (first and middle (if any))

Código Postal
Zip

País
Country

Se ha presentado una solicitud para este inventor sin firma
A petition has been filed for this unsigned inventor
Apellido
Family Name or Surname

Firma del inventor
Inventor’s Signature

Fecha
Date

Domicilio: Ciudad
Residence: City

Estado
State

País
Country

Nacionalidad
Citizenship

Dirección para recibir correspondencia
Mailing Address
Ciudad
City

Estado
State

Código Postal
Zip

País
Country

Esta r ecopilación de datos es obligatoria s egún el Título 35, secc ión 1 15 del C ódigo d e l os EE.UU. y el Título 37 , secci ón 1.63 del C ódigo de R egulaciones Fed erales. Los datos so n
obligatorios para que el público obtenga o retenga un beneficio, que es presentar (y, para la Oficina de Patentes y Marcas Registradas de los EE.UU., procesar) una solicitud. El Título 35,
sección 122 del Código de los EE.UU. y el Título 37, secciones 1.11 y 1.14 del Código de Regulaciones Federales regulan la confidencialidad. Se estima que se requieren 21 minutos para
llenar l a r ecopilación de dat os, l o q ue i ncluye r eunir, pr eparar y presentar el for mulario de sol icitud l leno al U SPTO. El ti empo var iará de acu erdo co n cada caso i ndividual. C ualquier
comentario sobre la cantidad de tiempo necesaria para llenar este formulario o cualquier sugerencia para reducir esta carga se deben enviar al Jefe de servicios de información, Oficina de
Patentes y M arcas R egistradas de l os EE.UU., D epartamento de Comercio de l os E E.UU., P.O. Box 1450 , Alexandria, VA 22313-1450. NO ENVÍE HON ORARIOS NI FORMUL ARIOS
LLENADOS A ESTA DIRECCIÓN. ENVIAR A: Comisionado de patentes, P.O. Box 1450, Alexandria, VA 22313-1450.
This collection of information is required by 35 U .S.C. 115 and 37 CFR 1.63. 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 1.11 and 1.14. This collection is estimated to take 21 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 Administrative 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.

Si necesita ayuda para llenar el formulario, llame al 1-800-PTO-9199 (1-800-786-9199) y seleccione la opción 2.

If you need assistance in completing the form, call 1-800-PTO-9199 (1-800-786-9199) and select option 2.

PTO/SB/02B (07-07)

Aprobado para uso hasta el XX/XX/XXXX. OMB 0651-0032

Approved for use through XX/XX/XXXX. OMB 0651-0032

Oficina de Patentes y Marcas Registradas de los EE.UU.; DEPARTAMENTO DE COMERCIO DE LOS EE.UU.

U.S. Patent and Trademark Office; U.S. DEPARTMENT OF COMMERCE
Según la Ley de la Simplificación de los Procesos Administrativos, nadie tiene que responder a una recopilación de datos a menos que contenga un número de control OMB válido.
Under the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it contains a valid OMB control number.

DECLARACIÓN: Hoja de datos prioritarios adicionales
DECLARATION – Supplemental Priority Data Sheet
Solicitudes en el extranjero:
Foreign applications:
Número(s) de solicitud(es) previa(s)
en el extranjero
Prior Foreign Application Number(s)

País
Country

Fecha de presentación en el
extranjero
Foreign Filing Date
(MM/DD/AAAA)
(MM/DD/YYYY)

Prioridad no reclamada
Priority Not Claimed

¿Se Adjunta copia autenticada?
Certified Copy Attached?
SÍ NO
YES NO

Esta r ecopilación de datos es obligatoria s egún el Título 35, secc ión 1 15 del C ódigo d e l os EE.UU. y el Título 37 , secci ón 1.63 del Có digo de Re gulaciones Fe derales. L os datos son
obligatorios para que el público obtenga o retenga un beneficio, que es presentar (y, para la Oficina de Patentes y Marcas Registradas de los EE.UU., procesar) una solicitud. El Título 35,
sección 122 del Código de los EE.UU. y el Título 37, secciones 1.11 y 1.14 del Código de Regulaciones Federales regulan la confidencialidad. Se estima que se requieren 21 minutos para
llenar la recopilación de datos, lo que incluye reunir, preparar y presentar el formulario de solicitud lleno al USPTO. El tiempo variará según el caso individual. Cualquier comentario sobre la
cantidad de tiempo necesaria para llenar este formulario o cualquier sugerencia para reducir esta carga se deben enviar al Jefe de servicios de información, Oficina de Patentes y Marcas
Registradas de l os EE.UU., Departamento de Comercio de los EE.UU., P.O. Box 1450, Alexandria, VA 2 2313-1450. N O ENVÍE HONORARIOS NI FORMULARIOS LLENADOS A ESTA
DIRECCIÓN. ENVIAR A: Comisionado de patentes, P.O. Box 1450, Alexandria, VA 22313-1450.
This collection of information is required by 35 U .S.C. 115 and 37 CFR 1.63. 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 1.11 and 1.14. This collection is estimated to take 21 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 Administrative 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.

Si necesita ayuda para llenar el formulario, llame al 1-800-PTO-9199 (1-800-786-9199) y seleccione la opción 2

If you need assistance in completing the form, call 1-800-PTO-9199 (1-800-786-9199) and select option 2.

OMB Clearance and PRA Burden Statement for PTO/SB/02B
This collection of information is required by 37 CFR 1.137. 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 1.11, 1.14 and 41.6. This form is estimated to
take 21 minutes to complete, including gathering, preparing, and submitting the completed 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 Administration 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: Mail Stop Petition, Commissioner for Patents, P.O. Box 1450, Alexandria, VA
22313-1450.

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. The United States Patent and Trademark Office (USPTO) collects this information under authority of 5 CFR 339.205.
The information in this system of records is used to manage all records of applicant including name, citizenship, residence, post office address and
other information pertaining to the applicant's activities in connection with the invention for which a patent is sought. Statements containing various
kinds of information with respect to inventors who are deceased or incapacitated, or who are unavailable or unwilling to make application for patent.
The information obtain is protected from disclosure to third parties in accordance with the Privacy Act.
However, routine uses of this information may include disclosure to the following: to law enforcement and investigation in the event that the system
of records indicates a violation or potential violation of law; to a Federal, state, local, or international agency, in response to its request; to an agency,
organization, or individual for the purpose of performing audit or oversight operations as authorized by law; to non-federal personnel under contract
to the agency; to a court for adjudication and litigation; to the Department of Justice for Freedom of Information Act (FOIA) assistance; to members of
congress working on behalf of an individual; to the Office of Personnel Management (OPM) for personnel research purposes; to National Archives and
Records Administration for inspection of records; and to the Office of Management and Budget (OMB)for legislative coordination and clearance.
Failure to provide any part of the requested information may result in an inability to process requests for access and information. The applicable
Privacy Act System of Records Notice for this information is COMMERCE/PAT-TM-7 Patent Application Files, available at Federal Register /Vol. 78, No.
61 / Friday, March 29, 2013 /Notices 19243. https://www.govinfo.gov/content/pkg/FR-2013-03-29/pdf/2013-07341.pdf