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PTO/AIA/32 (03‐13)
Approved for use through xx/xx/xxxx. OMB 0651‐0063
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.

Docket Number (Optional)

REQUEST FOR ORAL HEARING BEFORE
THE PATENT TRIAL AND APPEAL BOARD
I hereby certify that this correspondence is being facsimile
transmitted to the USPTO, EFS‐Web transmitted to the USPTO, or
deposited with the United States Postal Service with sufficient
postage in an envelope addressed to "Commissioner for Patents, P.O.
Box 1450, Alexandria, VA 22313‐1450" [37 CFR 1.8(a)]

In re Application of
Application Number

Filed

For

on ______________________________________________________.
Signature _________________________________________________

Art Unit

Examiner

Typed or printed name ______________________________________
Applicant hereby requests an oral hearing before the Patent Trial and Appeal Board in the appeal of the above‐identified application.
The fee for this Request for Oral Hearing is (37 CFR 41.20(b)(3))

$ _____________________

Applicant asserts small entity status. See 37 CFR 1.27. Therefore, the fee shown above is reduced
by 50%, and the resulting fee is:

$ _____________________

Applicant certifies micro entity status. See 37 CFR 1.29. Therefore, the fee shown above is reduced
by 75%, and the resulting fee is:

$ _____________________

Form PTO/SB/15A or B or equivalent must either be enclosed or have been submitted previously

A check in the amount of the fee is enclosed.
Payment by credit card. Form PTO‐2038 is attached.
The Director has already been authorized to charge fees in this application to a Deposit Account.
The Director is hereby authorized to charge any fees which may be required, or credit any overpayment
to Deposit Account No. ______________________.
Payment made via EFS‐Web.
A petition for an extension of time under 37 CFR 1.136(b) (PTO/SB/23 or equivalent) is enclosed.
For extensions of time in reexamination proceedings, see 37 CFR 1.550.

WARNING: Information on this form may become public. Credit card information should not be included
on this form. Provide credit card information and authorization on PTO‐2038.
I am the
applicant

attorney or agent of record

attorney or agent acting under 37 CFR 1.34

Registration number __________________

Registration number __________________

Signature __________________________________________________________________________________________________________
Typed or printed name _______________________________________________________________________________________________
Telephone Number __________________________________________________________________________________________________
Date ______________________________________________________________________________________________________________
NOTE: This form must be signed in accordance with 37 CFR 1.33. See 37 CFR 1.4 for signature requirements and certifications. Submit multiple
forms if more than one signature is required, see below*.
* Total of _____________ forms are submitted.
This collection of information is required by 37 CFR 41.20(b)(3). 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, 1.14 and 41.6. This collection is estimated to take 30 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. Accordingly,
pursuant to the requirements of the Act, please be advised that: (1) the general authority for the
collection of this information is 35 U.S.C. 2(b)(2); (2) furnishing of the information solicited is voluntary;
and (3) the principal purpose for which the information is used by the U.S. Patent and Trademark
Office is to process and/or examine your submission related to a patent application or patent. If you do
not furnish the requested information, the U.S. Patent and Trademark Office may not be able to
process and/or examine your submission, which may result in termination of proceedings or
abandonment of the application or expiration of the patent.
The information provided by you in this form will be subject to the following routine uses:
1.

2.
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4.

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The information on this form will be treated confidentially to the extent allowed under the
Freedom of Information Act (5 U.S.C. 552) and the Privacy Act (5 U.S.C 552a). Records from
this system of records may be disclosed to the Department of Justice to determine whether
disclosure of these records is required by the Freedom of Information Act.
A record from this system of records may be disclosed, as a routine use, in the course of
presenting evidence to a court, magistrate, or administrative tribunal, including disclosures to
opposing counsel in the course of settlement negotiations.
A record in this system of records may be disclosed, as a routine use, to a Member of
Congress submitting a request involving an individual, to whom the record pertains, when the
individual has requested assistance from the Member with respect to the subject matter of the
record.
A record in this system of records may be disclosed, as a routine use, to a contractor of the
Agency having need for the information in order to perform a contract. Recipients of
information shall be required to comply with the requirements of the Privacy Act of 1974, as
amended, pursuant to 5 U.S.C. 552a(m).
A record related to an International Application filed under the Patent Cooperation Treaty in
this system of records may be disclosed, as a routine use, to the International Bureau of the
World Intellectual Property Organization, pursuant to the Patent Cooperation Treaty.
A record in this system of records may be disclosed, as a routine use, to another federal
agency for purposes of National Security review (35 U.S.C. 181) and for review pursuant to
the Atomic Energy Act (42 U.S.C. 218(c)).
A record from this system of records may be disclosed, as a routine use, to the Administrator,
General Services, or his/her designee, during an inspection of records conducted by GSA as
part of that agency’s responsibility to recommend improvements in records management
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be made in accordance with the GSA regulations governing inspection of records for this
purpose, and any other relevant (i.e., GSA or Commerce) directive. Such disclosure shall not
be used to make determinations about individuals.
A record from this system of records may be disclosed, as a routine use, to the public after
either publication of the application pursuant to 35 U.S.C. 122(b) or issuance of a patent
pursuant to 35 U.S.C. 151. Further, a record may be disclosed, subject to the limitations of 37
CFR 1.14, as a routine use, to the public if the record was filed in an application which
became abandoned or in which the proceedings were terminated and which application is
referenced by either a published application, an application open to public inspection or an
issued patent.
A record from this system of records may be disclosed, as a routine use, to a Federal, State,
or local law enforcement agency, if the USPTO becomes aware of a violation or potential
violation of law or regulation.