Information Collection

Provisional Application for Patent Cover Sheet

IC 178644 under ICR 200702-0651-008 · OMB 0651-0032.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0651-0032 can be found here:

Documents and Forms

Document Name Document Type
Form PTO/SB/16 Provisional Application for Patent Cover Sheet Form
EFS Screens Registered and Unregistered Users.pdf sportal.uspto.gov/authenticate/AuthenticateUserLocalEPF.html Other-Electronic Screen Shots
PTO/SB/16 Provisional Application for Patent Cover Sheet ptosb0106.pdf www.uspto.gov/web/forms/sb0016_fill.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Provisional Application for Patent Cover Sheet	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 37 CFR 1.53 37 CFR 1.71 through 1.77 37 CFR 1.81 through 1.84 37 CFR 1.42, 1.43, 1.47 37 CFR 1.63 through 1.69 37 CFR 1.16

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	PTO/SB/16	Provisional Application for Patent Cover Sheet	ptosb0106.pdf	www.uspto.gov/web/forms/sb0016_fill.pdf	Yes	Yes	Fillable Printable
Other-Electronic Screen Shots			EFS Screens Registered and Unregistered Users.pdf	https://sportal.uspto.gov/authenticate/AuthenticateUserLocalEPF.html	Yes	Yes	Fillable Fileable Signable

Line of Business: Economic Development

Subfunction: Intellectual Property Protection

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 138,170	Number of Respondents for Small Entity: 85,980

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 8 %

	Approved	Program Change Due to New Statute	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	138,170	0	138,170
Annual IC Time Burden (Hours)	1,381,700	0	1,381,700
Annual IC Cost Burden (Dollars)	48,703,085	383	48,702,702

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.