PTO/SB/06 Patent Application Fee Determination Record (Substitute

Doc Code: WFEE

Document Description: Fee Worksheet (SB06)

PTO/SB/06 (12-22)
Approved for use through XX/XX/XXXX. OMB 0651-0031
U.S. 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.

Application or Docket Number

PATENT APPLICATION FEE DETERMINATION RECORD
Substitute for Form PTO-875

APPLICATION AS FILED – PART I

FOR

LARGE ENTITY
MICRO ENTITY
SMALL ENTITY

(Column 1)
NUMBER FILED

(Column 2)
NUMBER EXTRA

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

BASIC FEE
(37 CFR 1.16(a), (b), or (c))
SEARCH FEE
(37 CFR 1.16(k), (i), or (m))
EXAMINATION FEE
(37 CFR 1.16(o), (p), or (q))
TOTAL CLAIMS
(37 CFR 1.16(i))
INDEPENDENT CLAIMS
(37 CFR 1.16(h))
APPLICATION SIZE FEE
(37 CFR 1.16(s))

RATE ($)

FEE ($)

minus 20 =

*

x

=

minus 3 =

*

x

=

If the specification and drawings exceed 100 sheets
of paper, the application size fee due is $420 ($168
for small entity or $84 for micro entity) for each
additional 50 sheets or fraction thereof. See 35 U.S.C.
41(a)(1)(G) and 37 CFR 1.16(s).
MULTIPLE DEPENDENT CLAIM PRESENT (37 CFR 1.16(j))

N/A

* If the difference in column 1 is less than zero, enter “0” in column 2.

TOTAL

LARGE ENTITY

APPLICATION AS AMENDED – PART II

MICRO ENTITY

AMENDMENT A

SMALL ENTITY
(Column 1)
CLAIMS
REMAINING
AFTER
AMENDMENT
TOTAL
(37 CFR 1.16(i))

INDEPENDENT
(37 CFR 1.16(h))

(Column 2)
HIGHEST
NUMBER
PREVIOUSLY
PAID FOR

(Column 3)
PRESENT
EXTRA

ADDITIONAL
FEE ($)

RATE ($)

*

Minus

**

=

x

=

*

Minus

***

=

x

=

APPLICATION SIZE FEE (37 CFR 1.16(s))
FIRST PRESENTATION OF MULTIPLE DEPENDENT CLAIM (37 CFR 1.16(j))

N/A

AMENDMENT B

TOT!L !DD’L FEE
(Column 1)
CLAIMS
REMAINING
AFTER
AMENDMENT
TOTAL
(37 CFR 1.16(i))

INDEPENDENT
(37 CFR 1.16(h))

(Column 2)
HIGHEST
NUMBER
PREVIOUSLY
PAID FOR

(Column 3)
PRESENT
EXTRA

ADDITIONAL
FEE ($)

RATE ($)

*

Minus

**

=

x

=

*

Minus

***

=

x

=

APPLICATION SIZE FEE (37 CFR 1.16(s))
FIRST PRESENTATION OF MULTIPLE DEPENDENT CLAIM (37 CFR 1.16(j))

N/A
TOT!L !DD’L FEE

*
If the entry in column 1 is less than the entry in column 2, write “0” in column 3.
** If the “Highest Number Previously Paid For” IN THIS SP!CE is less than 20, enter “20”.
*** If the “Highest Number Previously Paid For” IN THIS SP!CE is less than 3, enter “3”.
The “Highest Number Previously Paid For” (Total or Independent) is the highest number found in the appropriate box in column 1.

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