PTO/SB/39 Authorization or Rescission of Authorization to Permit A

Doc Code: PD.TO.AUTH
Document Description: Auth or Resc of Auth to Access Appl by DAS/PDX Office

PTO/SB/39 (11-15)
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.

AUTHORIZATION OR RESCISSION OF AUTHORIZATION TO
PERMIT ACCESS TO APPLICATION-AS-FILED BY PARTICIPATING OFFICES
Send completed form to: Commissioner for Patents
P.O. Box 1450, Alexandria, VA 22313-1450
Application Number (if known):

Filing Date:

First Named Inventor:

Attorney Docket Number:

Title (Required)

Check either box 1 or 2 below, but not both:
By checking this box, the undersigned hereby grants the USPTO authority to provide the European
1.
Patent Office (EPO), the Japan Patent Office (JPO), the Korean Intellectual Property Office (KIPO), the State
Intellectual Property Office of the People’s Republic of China (SIPO), the World Intellectual Property
Organization(WIPO), and any other foreign intellectual property office participating with the USPTO in a bilateral
or multilateral priority document exchange agreement in which a foreign application claiming priority to the instant
patent application is filed, access to: (1) the instant patent application-as-filed and its related bibliographic data,
(2) any foreign or domestic application to which priority or benefit is claimed by the instant application and its
related bibliographic data, and (3) the date of filing of this Authorization. See 37 CFR 1.14(h)(1).
By checking this box, the undersigned hereby rescinds the previous authority granted to the USPTO to
2.
provide the EPO, JPO, KIPO, SIPO, WIPO or any other foreign intellectual property office participating with the
USPTO in a bilateral or multilateral priority document exchange agreement access to the documents and
information identified in paragraph 1 above.
This rescission of the previous authorization will not be effective unless and until an appropriate USPTO official
recognizes and acts on the rescission.
However, once the application has published or is otherwise publicly available, the USPTO may provide
access to the application in accordance with 37 CFR 1.14.

NOTE: This form must be signed by an authorized party in accordance with 37 CFR 1.14(c). Please see 37 CFR 1.4(d)
for the form of the signature. If necessary, submit multiple forms for more than one signature, see below.*

Signature
Name
(Print/Typed)

Date
Practitioner
Registration Number
(If applicable)

Name of Assignee
(if applicable)

Title
(if applicable)
*Total of ______ forms are submitted.

This collection of information is required by 37 CFR 1.14(h). 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 15 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.
If you need assistance in completing the form, call 1-800-PTO-9199 and select option 2.

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