Information Collection

Request for Supplemental Examination Transmittal Form

IC 200892 under ICR 201809-0651-001 · OMB 0651-0064.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0651-0064 can be found here:

Documents and Forms

Document Name Document Type
Form PTO/SB/59 Request for Supplemental Examination Transmittal Form Form
PTO/SB/59 Request for Supplemental Examination Transmittal Form sb0059.pdf www.uspto.gov/forms/sb0059.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Request for Supplemental Examination Transmittal Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 37 CFR 1.601-1.625 37 CFR 1.20(k), 1.26(c)(3)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	PTO/SB/59	Request for Supplemental Examination Transmittal Form	sb0059.pdf	http://www.uspto.gov/forms/sb0059.pdf	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: 75	Number of Respondents for Small Entity: 2

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 98 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	75	25	50
Annual IC Time Burden (Hours)	23	8	15
Annual IC Cost Burden (Dollars)	12	1	11

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.