Information Collection

Transmittal Form

IC 181562 under ICR 202606-0651-005 · OMB 0651-0031.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form PTO/SB/21 Transmittal Form Transmittal Form	Form and Instruction
PTO/SB/21 Transmittal Form PTOSB21.pdf www.uspto.gov/web/forms/sb0021.pdf	Form and Instruction

IC Title:

Transmittal Form

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 37 CFR 1.4 37 CFR 1.5 37 CFR 1.48 37 CFR 1.111 37 CFR 1.116 37 CFR 1.121 37 CFR 1.125 37 CFR 1.133 37 CFR 1.291

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	PTO/SB/21			http://www.uspto.gov/web/forms/sb0021.pdf	Yes	Yes	Fillable Fileable Signable

Line of Business: Economic Development

Subfunction: Intellectual Property Protection

Privacy Act System of Records

Title: Patent Application Files

FR Citation: 78 FR 19243

Number of Respondents: 517,000

Number of Respondents for Small Entity: 118,186

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	517,000	517,000
Annual IC Time Burden (Hours)	103,400	103,400
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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