Form Pto/sb/21 - Transmittal Form

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Doc Code: TRAN.LET

Document Description: Transmittal Letter

PTO/SB/21 (07-09)

Approved for use through 11/30/2020. OMB 0651-0031

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.

Application Number

TRANSMITTAL

Filing Date

FORM

First Named Inventor

Art Unit

Examiner Name

(to be used for all correspondence after initial filing)

Attorney Docket Number

Total Number of Pages in This Submission

ENCLOSURES

(Check all that apply)

After Allowance Communication to TC

Fee Transmittal Form

Drawing(s)

Appeal Communication to Board

Licensing-related Papers

Fee Attached

of Appeals and Interferences

Appeal Communication to TC

Petition

Amendment/Reply

(Appeal Notice, Brief, Reply Brief)

Petition to Convert to a

Proprietary Information

After Final

Provisional Application

Power of Attorney, Revocation

Status Letter

Affidavits/declaration(s)

Change of Correspondence Address

Other Enclosure(s) (please Identify

Terminal Disclaimer

Extension of Time Request

below):

Request for Refund

Express Abandonment Request

CD, Number of CD(s)

Information Disclosure Statement

Landscape Table on CD

Certified Copy of Priority

Remarks

Document(s)

Reply to Missing Parts/

Incomplete Application

Reply to Missing Parts

under 37 CFR 1.52 or 1.53

SIGNATURE OF APPLICANT, ATTORNEY, OR AGENT

Firm Name

Signature

Printed name

Date

Reg. No.

CERTIFICATE OF TRANSMISSION/MAILING

I hereby certify that this correspondence is being facsimile transmitted to the USPTO or deposited with the United States Postal Service with

sufficient postage as first class mail in an envelope addressed to: Commissioner for Patents, P.O. Box 1450, Alexandria, VA 22313-1450 on

the date shown below:

Signature

Date

Typed or printed name

This collection of information is required by 37 CFR 1.5. 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 and1.14. This collection is estimated to 2 hours 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

Commissioner for Patents, P.O. Box 1450, Alexandria, VA 22313-1450

ADDRESS. SEND TO:

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