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Transmittal Letter To The US Receiving Office PTO-1382 - Official Federal Forms

Transmittal Letter To The US Receiving Office Form. This is a national form and can be used in Patent US Patent Office .
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PT0-1382 (Rev. 01-2017) Approved for use through 08/31/2019. OMB 0651-0021 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 LETTER TO THE UNITED STATES RECEIVING OFFICE (RO/US) Date of Deposit: International Application No. (If known): Earliest Priority Date Claimed (dd/mm/yyyy): Priority Mail Express Mailing Label No.: File Reference No.: Customer Number1: Title of Invention: Applicant: 1 Customer Number will allow access to the appl ication in Private PAIR but cannot be used to establish or change the correspondence address. This is a new International Application SCREENING DISCLOSURE INFORMATION: In order to assist in screening the accompanying international application for purposes of determining whether a license for foreign transmittal should and could be granted and for other purposes, the following information i s supplied. (check all boxes as apply): The invention disclosed was not made in the United States of America. There is no prior U.S. application relating to this invention. The following prior U.S. application(s) contain subject matter which is related to the invention disclosed in the attached international application. (NOTE: priority to these applications may or may not be claimed on the Request (form PCT/RO/101) and this listing does not constitute a claim for priority.) application no. application no. filed on filed on The present international application contains additional subject matter not found in the prior U.S. application(s) identified above. The additional subject matter is found on pages________________________________________________ and DOES NOT ALTER MIGHT BE CONSIDERED TO ALTER the general nature of the invention in a manner which would require the U.S. application to have been made available for inspection by the appropriate defense agencies under 35 U.S.C. 181 and 37 C.F.R. 5.15. Itemized list of contents & entity status Sheets of Request form: Sheets of description (excluding sequence listing): Sheets of claims: Sheets of abstract: Sheets of drawings: Sheets (paper or pdf) of sequence listing: Sequence listing text file: CD or diskette via EFS-Web Applicant asserts small entity status. See 37 CFR 1.27. If this written assertion is made by the applicant, all applicants must sign (37 C.F.R. ยง1.42) Applicant certifies micro entity status. See 37 CFR 1.29. Applicant must attach form PTO/SB/15A or B or equivalent. Applicant Attorney/Agent Registration No. Common Representative Name of person signing Signature Check no.: Return receipt postcard: Power of attorney: Certified copy of priority document (specify): PTO/SB15A or B or equivalent: Other (specify): The person signing this form is: This collection of infom1 ation is required by 37 CFR 1.10 and 1.412. 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 15 minutes to complete, including gathering in formation, preparing, and submitting the completed 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 I n f o r m a t i o n 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: Mail Stop PCT, Commissioner for Patents, P.O. Box 1450, Alexandria, VA 22313-1450. Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com 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. 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 re
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