Information Collection

Provisional Application for Patent Cover Sheet

IC 178644 under ICR 201908-0651-004 · 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⚠️ Notice: This information collection may be referencing outdated material.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
sb16_inst.doc www.uspto.gov/ebc/portal/efs/sb16_inst.doc Instruction
PTO/SB/16 Provisional Application for Patent Cover Sheet sb0016.pdf www.uspto.gov/forms/sb0016.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: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 37 CFR 1.81 through 1.84 37 CFR 1.51 through 1.53 37 CFR 1.41 through 1.43 37 CFR 1.71 through 1.78 37 CFR 1.63 through 1.69 37 CFR 1.16 37 CFR 1.57 and 1.58 37 CFR 1.45 through 1.48

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			sb16_inst.doc	http://www.uspto.gov/ebc/portal/efs/sb16_inst.doc	Yes	Yes	Fillable Fileable Signable
Form	PTO/SB/16	Provisional Application for Patent Cover Sheet	sb0016.pdf	http://www.uspto.gov/forms/sb0016.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: 4,000	Number of Respondents for Small Entity: 1,000

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	4,000	4,000
Annual IC Time Burden (Hours)	72,000	72,000
Annual IC Cost Burden (Dollars)	681,830	681,830

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.