Form Pt0-1382 - Transmittal Letter To The United States Receiving Office (Ro/us)
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1
2PT0-1382
(Rev.
01-2017)
Approved
for
use
through
08/31/2019. OMB 0651-0021
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.
TRANSMITTAL LETTER TO THE UNITED STATES RECEIVING OFFICE (RO/US)
Priority Mail Express Mailing Label No.:
Date of Deposit:
File Reference No.:
International Application No. (If known):
1
Customer Number
:
Earliest Priority Date Claimed (dd/mm/yyyy):
Title of Invention:
Applicant:
1
Customer Number
will allow
access
to
the
appl
ication
in
Private
PAIR but
cannot
be
used
to establish
or
change
the correspondence
address.
This
is a
new
International Application
SCREENING DISCLOSURE
INFORMATION:
In order to
assist in screening the accompanying international application for
purposes
of determining whether
a
license
for foreign transmittal
should
and could be granted and for other
purposes,
the
following
information i
s
supplied. (check all
boxes
as apply):
The invention
disclosed was
not
made in the
United
States of America.
There
is no prior
U.S.
application relating
to
this invention.
The
following prior
U.S.
application(s) contain subject matter
which
is related to the invention disclosed
in
the attached international
application.
(NOTE:
priority to these
applications
may
or
may not be
claimed on
the Request (form
PCT/RO/101)
and
this
listing
does
not
constitute
a
claim
for
priority.)
application no.
filed
on
application no.
filed on
The
present
international application contains additional subject matter not found in the
prior
U.S.
application(s)
identified
above.
The
additional subject matter
is
found on pages________________________________________________
and
DOES
NOT ALTER
MIGHT BE
CONSIDERED
TO ALTER
the
general
nature of the
invention
in a manner which would
require
the U.S. application to have been made available
for
inspection
by the appropriate
defense
agencies under 35
U.S.C.
181 and
37 C.F.R. 5.15.
Itemized list
of contents & entity status
Sheets
of
Request form:
Check no.:
Sheets of description
Return receipt postcard:
(excluding
sequence
listing):
Sheets of claims:
Power of attorney:
Certified copy
of priority
Sheets
of
abstract:
document
(specify):
PTO/SB15A or B or equivalent:
Sheets
of
drawings:
Other (specify):
Sheets (paper or pdf) of sequence listing:
Seq
uence listing text file:
CD or diskette
via EFS-Web
Applicant asserts small entity status. See 37 CFR 1.27. If this written assertion is made by the applicant, all applicants
must sign (37 C.F.R. §1.42)
Applicant certifies micro entity status. See 37 CFR 1.29. Applicant must attach form PTO/SB/15A or B or equivalent.
Applicant
The person
Attorney/Agent
signing
Name of
person
signing
this
form
Registration
No.
is:
Common
Representative
Signature
This
collection of
infom1 ation
is required by 37 CFR
1.10
and
1.
4 12. 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
15 minutes to
complete,
including
gathering
in
formation,
preparing, and submitting the
completed 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 I n f o r m a t i o n 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:
Mail
Stop
PCT,
Commissioner for
Patents, P.O.
Box
1450, Alexandria,
VA
22313-1450.
Page 1
of 1
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