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Applicant Initiated Interview Request Form PTOL-413A - Official Federal Forms

Applicant Initiated Interview Request Form Form. This is a national form and can be used in Patent US Patent Office .
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Doc Code: M865 or FAI.REQ.INTV PTOL-413A (07-16) Approved for use through 07/31/2016. OMB 0651-0031 U.S. Patent and Trademark Office; U.S. DEPARTMENT OF COMMERCE Applicant Initiated Interview Request Form Application No.:_________________ Examiner:______________________ First Named Applicant:____________________________________ Art Unit:__________ Status of Application:__________________ Tentative Participants: (1)_____________________________ (2)_______________________________ (3)_____________________________ (4)_______________________________ Proposed Date of Interview:_____________________ Type of Interview Requested: (1) [ ] Telephonic (2) [ ] Personal Proposed Time:__________ ( AM PM) (3) [ ] Video Conference Exhibit To Be Shown or Demonstrated: [ ] YES [ ] NO If yes, provide brief description:________________________________________________ Issues To Be Discussed Issues (Rej., Obj., etc) (1)__________ (2)__________ (3)__________ Claims/ Fig. #s ________ ________ ________ Prior Art ______________ ______________ ______________ Discussed [] [] [] Agreed [] [] [] Not Agreed [] [] [] (4)__________ ________ ______________ [] [] [] [ ] Continuation Sheet Attached [ ] Proposed Amendment or Arguments Attached Brief Description of Arguments to be Presented: ___________________________________________ ______________________________________________________________________________ An interview was conducted on the above-identified application on ____________________________ NOTE: This form should be completed and filed by applicant in advance of the interview (see MPEP ยง 713.01). If this form is signed by a registered practitioner not of record, the Office will accept this as an indication that he or she is authorized to conduct an interview on behalf of the principal (37 CFR 1.32(a)(3)) pursuant to 37 CFR 1.34. This is not a power of attorney to any above named practitioner. See the Instruction Sheet for this form, which is incorporated by reference. By signing this form, applicant or practitioner is certifying that he or she has read the Instruction Sheet. After the interview is conducted, applicant is advised to file a statement of the substance of this interview (37 CFR 1.133(b)) as soon as possible. This application will not be delayed from issue because of applicant's failure to submit a written record of this interview. Applicant/Applicant's Representative Signature Typed/Printed Name of Applicant or Representative Registration Number, if applicable Examiner/SPE Signature Applicant's/Applicant's Representative's Telephone Number This collection of information is required by 37 CFR 1.133. 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 24 minutes 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. If you need assistance in completing the form, call 1-800-PTO-9199 and select option 2. 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 records may be disclosed, as a routine use, to the Administrator, General Services, or his/her designee, during an inspection of records conducted by GSA as part of that agency's responsibility to recommend improvements in records management practices and programs, under authority of 44 U.S.C. 2904 and 2906. Such di
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