Fillable Form Pto/sb/17 - Fee Transmittal printable pdf download

PTO/SB/17 (03‐13)

Approved for use through 04/30/2017. OMB 0651‐0032

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

Complete if known

FEE TRANSMITTAL

Application Number

Filing Date

First Named Inventor

Applicant asserts small entity status. See 37 CFR 1.27.

Applicant certifies micro entity status. See 37 CFR 1.29.

Examiner Name

Form PTO/SB/15A or B or equivalent must either be enclosed or have

Art Unit

been submitted previously.

TOTAL AMOUNT OF PAYMENT

($)

Practitioner Docket No.

METHOD OF PAYMENT (check all that apply)

Check

Credit Card

Money Order

None

Other (please identify): ___________________________________________

Deposit Account Deposit Account Number: _______________________ Deposit Account Name: ______________________

For the above‐identified deposit account, the Director is hereby authorized to (check all that apply):

Charge fee(s) indicated below

Charge fee(s) indicated below, except for the filing fee

Charge any additional fee(s) or underpayment of fee(s)

Credit any overpayment of fee(s)

under 37 CFR 1.16 and 1.17

WARNING: Information on this form may become public. Credit card information should not be included on this form. Provide credit card

information and authorization on PTO‐2038.

FEE CALCULATION

1. BASIC FILING, SEARCH, AND EXAMINATION FEES (U = undiscounted fee; S = small entity fee; M = micro entity fee)

FILING FEES

SEARCH FEES

EXAMINATION FEES

Application Type

U ($)

S ($)

M ($)

U ($)

S ($)

M ($)

U ($)

S ($)

M ($)

Fees Paid ($)

Utility

280

140*

600

300

150

720

360

180

Design

180

120

460

230

115

Plant

180

380

190

580

290

145

Reissue

280

140

600

300

150

2,160

1,080

540

Provisional

260

130

* The $140 small entity status filing fee for a utility application is further reduced to $70 for a small entity status applicant who files the application via EFS‐Web.

2. EXCESS CLAIM FEES

Fee Description

Undiscounted Fee ($)

Small Entity Fee ($)

Micro Entity Fee ($)

Each claim over 20 (including Reissues)

Each independent claim over 3 (including Reissues)

420

210

105

Multiple dependent claims

780

390

195

Total Claims

Extra Claims

Fee ($)

Fee Paid ($)

__________

‐20 or HP =

__________ x

__________

Multiple Dependent Claims

HP = highest number of total claims paid for, if greater than 20.

Fee ($)

Fee Paid ($)

Indep. Claims

Extra Claims

Fee ($)

Fee Paid ($)

__________

‐3 or HP =

__________ x

__________

HP = highest number of independent claims paid for, if greater than 3.

3. APPLICATION SIZE FEE

If the specification and drawings exceed 100 sheets of paper (excluding electronically filed sequence or computer listings under 37 CFR 1.52(e)),

the application size fee due is $400 ($200 for small entity) ($100 for micro entity) for each additional 50 sheets or fraction thereof. See 35 U.S.C.

41(a)(1)(G) and 37 CFR 1.16(s).

Total Sheets

Extra Sheets

Number of each additional 50 or fraction thereof

Fee ($)

Fee Paid ($)

__________ ‐ 100 =

__________ / 50 =

__________ (round up to a whole number)

__________ =

__________

4. OTHER FEE(S)

Fees Paid ($)

Non‐English specification, $130 fee (no small or micro entity discount)

__________

Non‐electronic filing fee under 37 CFR 1.16(t) for a utility application, $400 fee ($200 small or micro entity)

__________

Other (e.g., late filing surcharge): _______________________________________________________________________

__________

SUBMITTED BY

Registration No.

Signature

Telephone

(Attorney/Agent)

Name (Print/Type)

Date

This collection of information is required by 37 CFR 1.136. 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 1.14. This collection is estimated to take 30 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. SEND

TO: Commissioner for Patents, P.O. Box 1450, Alexandria, VA 22313‐1450.

If you need assistance in completing the form, call 1‐800‐PTO‐9199 and select option 2.