Request for Recalculation of Patent Term Adjustment in view of Safe Harbor Statement Under 37 CFR 1.704(d)

Legal Form NumberSB/134
CourtUnited States Patent and Trademark Office
SectionUnited States Patent and Trademark Office
Doc Code: PET.PTA.IDS
Request Recalculation Patent Term Adjustment (PTA) of Safe Harbor
under 37 CFR 1.704(d) PTO/SB/134 (05-18)
REQUEST FOR RECALCULATION OF PATENT TERM ADJUSTMENT
IN VIEW OF SAFE HARBOR STATEMENT UNDER 37 CFR 1.704(d)
Application Number: Patent Number:
Filing Date : Attorney Docket Number:
Applicant:
Patent ee hereby requests Recalculation of t he Patent Term Adjustment (P TA) under 35 U. S.C. 154(b).
A Request for Recalc ulation of PTA under this int erim procedure is not considered a Reques t for
Reconsiderat ion within the meaning of 35 U.S .C. 154(b)(3) and 37 CFR 1.705(b). A Recalculation of Patent
Term A djust ment under this interim procedure is not the Director’s decision on patentee’s request for
reconsi deration within the m eaning of 35 U.S. C. 154(b)(3)and (b)(4).
NOTE : This fo rm may be us ed if the sole basis for requesting reconsideration of PTA is failure of the USPTO
to recognize that an IDS was ac companied by a safe harbor statement under 37 CFR 1. 704(d).
Signature
Date
Typed or
printed name
Practitioner
Registration Number
Note: Signatures of all the inventors or assignees of record of the entire interest or their representative(s) are required in accordance with
37 CFR 1.33 and 11.18.
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*.
*Total of forms are submitted.
If you need assistance in completing the form, call 1-800-PTO-9199 and select option 2.

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