Transmittal Form

Legal Form NumberSB/21
CourtUnited States Patent and Trademark Office
SectionUnited States Patent and Trademark Office
Doc Code: TRAN.LET
Document Description: Transmittal Letter PTO/SB/21 (07-09)
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.
TRANSMITTAL
FORM
(to be used for all correspondence after initial filing)
Total Number of Pages in This Submission
Application Number
Filing Date
First Named Inventor
Art Unit
Examiner Name
Attorney Docket Number
ENCLOSURES (Check all that apply)
After Allowance Communication to TC
Appeal Communication to Board
of Appeals and Interferences
Appeal Communication to TC
(Appeal Notice, Brief, Reply Brief)
Proprietary Information
Status Letter
Other Enclosure(s) (please Identify
below):
Remarks
Fee Transmittal Form
Fee Attached
Amendment/Reply
After Final
Affidavits/declaration(s)
Extension of Time Request
Express Abandonment Request
Information Disclosure Statement
Certified Copy of Priority
Document(s)
Reply to Missing Parts/
Incomplete Application
Reply to Missing Parts
under 37 CFR 1.52 or 1.53
Drawing(s)
Licensing-related Papers
Petition
Petition to Convert to a
Provisional Application
Power of Attorney, Revocation
Change of Correspondence Address
Terminal Disclaimer
Request for Refund
CD, Number of CD(s)
Landscape Table on CD
SIGNATURE OF APPLICANT, ATTORNEY, OR AGENT
Firm Name
Reg. No.
Printed name
Signature
Date
CERTIFICATE OF TRANSMISSION/MAILING
I hereby certify that this correspondence is being facsimile transmitted to the USPTO or deposited with the United States Postal Service with
sufficient postage as first class mail in an envelope addressed to: Commissioner for Patents, P.O. Box 1450, Alexandria, VA 22313-1450 on
the date shown below:
Signature
Typed or printed name Date
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 2 hours 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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