TM-Form-MEF-Petition-to-Director

Notice regarding Section 508 of the Workforce Investment Act of 1998: Section 508 of the Workforce Investment Act of 1998 requires that all U.S. Federal Agencies make their
web sites fully accessible to individuals with disabilities. See 29 U.S.C. §794d. While the Trademark Electronic Application System (TEAS) forms do comply with Section 508, the
PDF preview of the TEAS forms currently do not meet all standards for web accessibility. If you cannot access a PDF preview of a TEAS form due to a disability or have any questions
about this notice, please contact the Trademark Assistance Center (TAC) at 1-800-786-9199 (select option#1), Monday-Friday, 8:30 a.m. to 8 p.m., ET.

PRA Act Statement
A Federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a
person be subject to a penalty for failure to comply with an information collection subject to the
requirements of the Paperwork Reduction Act of 1995, unless the information collection has a
currently valid OMB Control Number. The OMB Control Number for this information collection is
0651-0054. Public burden for this form is estimated to average 65 minutes per response, including
the time for reviewing instructions, searching existing data sources, gathering and maintaining the
data needed, and completing and reviewing the information collection. Send comments regarding
this burden estimate or any other aspect of this information collection, including suggestions for
reducing this burden to the Chief Administrative Officer, United States Patent and Trademark
Office, P.O. Box 1450, Alexandria, VA 22313-1450 or email
[email protected].
Privacy Act Statement
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 name, citizenship,
domicile, email address, postal address, and telephone number of the trademark applicant,
registrant, and applicant’s or registrant’s legal or other authorized representative(s), an attorney’s law
firm or company affiliation and professional licensing information, and other information
pertaining to an applicant’s or registrant’s activities in connection with the applied-for or registered
mark. Other records mange in this system include trademark applications, applicant and registrant
declarations, office actions, registration certificates, and correspondence generated in the course of
the prosecution of a trademark application or maintenance of a trademark registration. The
information you provide 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: public;
foreign entity, professional organizations or associations, audit or oversight; governments, law
enforcement and investigation; non-federal personnel; record informational inquiries; data breach
notification; data breach assistance; adjudication and litigation; department of justice litigation;
freedom of information act assistance from department of justice; office of personnel management;
congressional inquiries; the National Archives and Records Administration; and office of
management and budget. Disclosure of the information by you is voluntary; however, failure to
provide any part of the requested information may result in our inability to enroll you in the
program. The applicable Privacy Act System of Records Notice for this information request is
COMMERCE/USPTO-26, Trademarks Application and Registration Records: Federal Register vol.
85 February 18, 2020, p 8847, available at https://www.govinfo.gov/content/pkg/FR-2020-02-18/
pdf/2020-03068.pdf