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pdfU.S. PATENT AND TRADEMARK OFFICE
OMB No. 0651-0081 | Approved through 5/31/2026
SEMI-ANNUAL LAW SCHOOL CLINIC CERTIFICATION PROGRAM REPORTING
§ 11.17(B) REQUIREMENTS FOR PARTICIPATION IN THE USPTO LAW SCHOOL CLINIC CERTIFICATION PROGRA M
School:
Name:
Phone:
E-mail:
Date:
This covers the following date range: January 1 - June 30 July 1 - December 31
Year:
1.
Number of law students participating in each of the patent and trademark practice areas of the school’s clinic:
Patent:
2.
Trademark:
Total Students:
0
Number of faculty participating in each of the patent and trademark practice areas of the school’s clinic:
Patent:
Trademark:
Total Faculty:
0
If any participating faculty member is not an approved faculty clinic supervisor, please list the names and note the type of
assistance provided by each such person:
3.
Number of persons to whom the school’s clinic provided assistance in any given patent or trademark matter but with whom
no practitioner-client relationship had formed:
4.
Number of client representations undertaken for each of the patent and trademark practice areas of the school’s clinic:
Patent:
5.
Trademark:
Total:
0
The identity and number of applications and responses filed in each of the patent and/or trademark practice areas of the
school’s clinic:
A.
Patent Applications Filed:
Application Number:
Date Filed:
Application Number:
Date Filed:
Application Number:
Date Filed:
Application Number:
Date Filed:
Application Number:
Date Filed:
Application Number:
Date Filed:
Application Number:
Date Filed:
Application Number:
Date Filed:
Application Number:
Date Filed:
Application Number:
Date Filed:
Application Number:
Date Filed:
Application Number:
Date Filed:
Application Number:
Date Filed:
Application Number:
Date Filed:
Page 2 of 5
B.
C.
D.
OMB No. 0651-0081 | Approved through 5/31/2026
Patent Application Responses Filed:
Application Number:
Date Filed:
Application Number:
Date Filed:
Application Number:
Date Filed:
Application Number:
Date Filed:
Application Number:
Date Filed:
Application Number:
Date Filed:
Application Number:
Date Filed:
Application Number:
Date Filed:
Application Number:
Date Filed:
Application Number:
Date Filed:
Application Number:
Date Filed:
Application Number:
Date Filed:
Application Number:
Date Filed:
Application Number:
Date Filed:
Trademark Applications Filed:
Application Number:
Date Filed:
Application Number:
Date Filed:
Application Number:
Date Filed:
Application Number:
Date Filed:
Application Number:
Date Filed:
Application Number:
Date Filed:
Application Number:
Date Filed:
Application Number:
Date Filed:
Application Number:
Date Filed:
Application Number:
Date Filed:
Application Number:
Date Filed:
Application Number:
Date Filed:
Application Number:
Date Filed:
Application Number:
Date Filed:
Trademark Application Responses Filed:
Application Number:
Action Taken:
Application Number:
Action Taken:
Application Number:
Action Taken:
Page 3 of 5
6.
OMB No. 0651-0081 | Approved through 5/31/2026
Application Number:
Action Taken:
Application Number:
Action Taken:
Application Number:
Action Taken:
Application Number:
Action Taken:
Application Number:
Action Taken:
Application Number:
Action Taken:
Application Number:
Action Taken:
Application Number:
Action Taken:
Application Number:
Action Taken:
Application Number:
Action Taken:
Application Number:
Action Taken:
The patents issued, or trademarks registered, to clients of the clinic:
A.
B.
Patent:
Patent Number:
Date Issued:
Patent Number:
Date Issued:
Patent Number:
Date Issued:
Patent Number:
Date Issued:
Patent Number:
Date Issued:
Patent Number:
Date Issued:
Patent Number:
Date Issued:
Patent Number:
Date Issued:
Patent Number:
Date Issued:
Patent Number:
Date Issued:
Patent Number:
Date Issued:
Patent Number:
Date Issued:
Patent Number:
Date Issued:
Patent Number:
Date Issued:
Trademark
Registration Number:
Date Registered:
Registration Number:
Date Registered:
Registration Number:
Date Registered:
Registration Number:
Date Registered:
Registration Number:
Date Registered:
Registration Number:
Date Registered:
Page 4 of 5
7.
OMB No. 0651-0081 | Approved through 5/31/2026
Registration Number:
Date Registered:
Registration Number:
Date Registered:
Registration Number:
Date Registered:
Registration Number:
Date Registered:
Registration Number:
Date Registered:
Registration Number:
Date Registered:
Registration Number:
Date Registered:
Registration Number:
Date Registered:
The Patent Trial Appeal Board (PTAB) and Trademark Trial Appeal Board (TTAB) proceedings involved in:
A.
B.
PTAB:
Proceeding:
Date Engaged:
Proceeding:
Date Engaged:
Proceeding:
Date Engaged:
Proceeding:
Date Engaged:
Proceeding:
Date Engaged:
Proceeding:
Date Engaged:
Proceeding:
Date Engaged:
Proceeding:
Date Engaged:
Proceeding:
Date Engaged:
Proceeding:
Date Engaged:
Proceeding:
Date Engaged:
Proceeding:
Date Engaged:
Proceeding:
Date Engaged:
Proceeding:
Date Engaged:
TTAB:
Proceeding:
Date Engaged:
Proceeding:
Date Engaged:
Proceeding:
Date Engaged:
Proceeding:
Date Engaged:
Proceeding:
Date Engaged:
Proceeding:
Date Engaged:
Proceeding:
Date Engaged:
Proceeding:
Date Engaged:
Proceeding:
Date Engaged:
Page 5 of 5
8.
OMB No. 0651-0081 | Approved through 5/31/2026
Proceeding:
Date Engaged:
Proceeding:
Date Engaged:
Proceeding:
Date Engaged:
Proceeding:
Date Engaged:
Proceeding:
Date Engaged:
Any other information the school wants to report:
The United States Patent and Trademark Office (USPTO) is using this report form to gather information from Law School Clinics.
This report is required to obtain or maintain benefits, includes 7 questions and should take approximately one hour to complete.
This information collection contains requirements subject to the Paperwork Reduction Act (PRA). Notwithstanding any other
provisions of the law, no person is required to respond to, nor shall any person be subject to penalty for failure to comply with, a
collection of information subject to the requirements of the PRA, unless that collection of information displays a currently v alid
OMB control number.
| File Type | application/pdf |
| File Title | USPTO Semi-Annual Law School Clinic Certification Program Reporting |
| Subject | USPTO Semi-Annual Law School Clinic Certification Program Reporting |
| Author | USPTO |
| File Modified | 2025-01-27 |
| File Created | 2024-12-27 |