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Request For Participation-(PPH) Pilot Program Between (IPOCZ)-USPTO PTO-SB-20CZ - Official Federal Forms

Request For Participation-(PPH) Pilot Program Between (IPOCZ)-USPTO Form. This is a national form and can be used in EFS-Web US Patent Office .
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Doc Code: PPH.PET.652 Document Description: Petition to make special under Patent Pros Hwy PTO/SB/20CZ (10-12) Approved for use through 01/31/2015. OMB 0651-0058 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. REQUEST FOR PARTICIPATION IN THE PATENT PROSECUTION HIGHWAY (PPH) PILOT PROGRAM BETWEEN THE INDUSTRIAL PROPERTY OFFICE OF THE CZECH REPUBLIC (IPOCZ) AND THE USPTO Application No.: Filing Date: Title of the Invention: First Named Inventor: Attorney Docket No.: THIS REQUEST FOR PARTICIPATION IN THE PPH PILOT PROGRAM ALONG WITH THE REQUIRED DOCUMENTS MUST BE SUBMITTED VIA EFS WEB. INFORMATION REGARDING EFS-WEB IS AVAILABLE AT HTTP://WWW.USPTO.GOV/EBC/EFS_HELP.HTML. APPLICANT HEREBY REQUESTS PARTICIPATION IN THE PATENT PROSECUTION HIGHWAY (PPH) PILOT PROGRAM AND PETITIONS TO MAKE THE ABOVE-IDENTIFIED APPLICATION SPECIAL UNDER THE PPH PILOT PROGRAM. The above-identified application (1) validly claims priority under 35 U.S.C. 119(a) and 37 CFR 1.55 to one or more corresponding CZ application(s), or (2) is a national stage entry of a PCT application that validly claims priority to one or more corresponding IS application(s). The CZ/PCT application number(s) is/are: ______________________________________________________________ __________________________________________________________________________________________________ The filing date of the CZ/PCT application(s) is/are: _______________________________________________________ __________________________________________________________________________________________________ I. List of Required Documents: a. A copy of all CZ office actions which are relevant to patentability in the above-identified CZ application(s) is attached. b. A copy of all claims which were determined to be patentable by the IPOCZ in the above-identified CZ application(s) is attached. c. English translations of the documents in a. and b. above, along with a statement that the English translations are accurate, are attached (if the documents are not in the English language). d. (1) An information disclosure statement listing the documents cited in the CZ office actions is attached. has already been filed in the above-identified U.S. application on ___________________________ (2) Copies of all documents (except for U.S. patents or U.S. patent application publications) are attached. have already been filed in the above-identified U.S. application on __________________________ [Page 1 of 2] This collection of information is required by 35 U.S.C. 119, 37 CFR 1.55, and 37 CFR 1.102(d). 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 and 1.14. This collection is estimated to take 2 hours 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 Information 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. PTO/SB/20CZ (10-12) Approved for use through 01/31/2015. OMB 0651-0058 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. REQUEST FOR PARTICIPATION IN THE PATENT PROSECUTION HIGHWAY (PPH) PILOT PROGRAM BETWEEN THE INDUSTRIAL PROPERTY OFFICE OF THE CZECH REPUBLIC (IPOCZ) AND THE USPTO (continued) Application No.: First Named Inventor: II. Claims Correspondence Table: Claims in US Application Patentable Claims in CZ Application Explanation regarding the correspondence III. All the claims in the US application sufficiently correspond to the patentable/allowable claims in the CZ application. Signature Name (Print/Typed) [Page 2 of 2] Date Registration Number 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. 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. 2. 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. 3. 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. 4. 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). 5. A record related to an International Application file
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