Petition for Extension of Time Under 37 CFR 1.136(a)

Legal Form NumberAIA/22
CourtUnited States Patent and Trademark Office, Patent Trial and Appeal Board
SectionUnited States Patent and Trademark Office
* Total of __________
PTO/AIA/22 (11-23)
Approved for use through 05/31/2024. 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.
PETITION FOR EXTENSION OF TIME UNDER 37 CFR 1.136(a)
Docket Number (Optional)
Application Number Filed
For
Art Unit Examiner
This is a request under the provisions of 37 CFR 1.136(a) to extend the period for filing a reply in the above-identified application.
The requested extension and fee are as follows (check time period desired and enter the appropriate fee below):
Fee Small Entity Fee Micro Entity Fee
One month (37 CFR 1.17(a)(1)) $88 $44 $ _____________________
Two months (37 CFR 1.17(a)(2)) $256 $128 $ _____________________
Three months (37 CFR 1.17(a)(3)) $592 $296 $ _____________________
Four months (37 CFR 1.17(a)(4)) $928 $464 $ _____________________
Five months (37 CFR 1.17(a)(5))
$220
$640
$1,480
$2,320
$3,160 $1,264 $632 $ _____________________
Applicant asserts small entity status. See 37 CFR 1.27.
Applicant certifies micro entity status. See 37 CFR 1.29.
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 Number ____________________________.
Payment made via USPTO patent electronic filing system.
WARNING: Information on this form may become public. Credit card information should not b e included on this form. Provide
credit card information and authorization on PTO-2038.
I am the
applicant.
attorney or agent of record. Registration number _____________________________.
attorney or agent acting under 37 CFR 1.34. Registration number _____________________________.
___________________________________________________ ___________________________________________________
Signature Date
___________________________________________________ ___________________________________________________
Typed or printed name Telephone Number
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*.
______ forms are submitted.
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 0651-0031. Public burden for this form is estimated to average 6 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
InformationCollection@uspto.gov. DO NOT SEND FEES OR COMPLETED FORMS TO THIS ADDRESS. If filing this completed form by mail, 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.

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