Representative and Address Provisions

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0651-0035 can be found here:

Documents and Forms

Document Name Document Type
Form PTO/SB/80 Representative and Address Provisions Form
PTO/SB/80 Power of Attorney to Prosecute Applications Before the U sb0080.pdf www.uspto.gov/web/forms/sb0080.pdf Form
PTO/SB/81 Power of Attorney and Correspondence Address Indication sb0081_fill.pdf www.uspto.gov/web/forms/sb0081_fill.pdf Form
PTO/SB/82 Revocation of Power of Attorney with New Power of Attorn sb0082_fill.pdf www.uspto.gov/web/forms/sb0082_fill.pdf Form
PTO/SB/83 Request for Withdrawal as Attorney or Agent and Change o sb0083-fill.pdf www.uspto.gov/web/forms/sb0083-fill.pdf Form
PTO/SB/84 Authorization to Act in a Representative Capacity sb0084.pdf www.uspto.gov/web/forms/sb0084.pdf Form
PTO/SB/122 Change of Correspondence Address - Application sb0122_fill.pdf www.uspto.gov/web/forms/sb0122_fill.pdf Form
PTO/SB/123 Change of Correspondence Address - Patent sb0123_fill.pdf www.uspto.gov/web/forms/sb0123_fill.pdf Form
PTO/SB/124 Request for Customer Number Data Change sb0124-fill.pdf www.uspto.gov/web/forms/sb0124-fill.pdf Form
PTO/SB/125 Request for Customer Number sb0125_fill.pdf www.uspto.gov/web/forms/sb0125_fill.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Representative and Address Provisions	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	PTO/SB/80	Power of Attorney to Prosecute Applications Before the USPTO	sb0080.pdf	http://www.uspto.gov/web/forms/sb0080.pdf	Yes	No	Printable Only
Form	PTO/SB/125	Request for Customer Number	sb0125_fill.pdf	http://www.uspto.gov/web/forms/sb0125_fill.pdf	Yes	No	Fillable Printable
Form	PTO/SB/122	Change of Correspondence Address - Application	sb0122_fill.pdf	http://www.uspto.gov/web/forms/sb0122_fill.pdf	Yes	No	Fillable Printable
Form	PTO/SB/83	Request for Withdrawal as Attorney or Agent and Change of Correspondence Address	sb0083-fill.pdf	http://www.uspto.gov/web/forms/sb0083-fill.pdf	Yes	No	Fillable Printable
Form	PTO/SB/84	Authorization to Act in a Representative Capacity	sb0084.pdf	http://www.uspto.gov/web/forms/sb0084.pdf	Yes	No	Printable Only
Form	PTO/SB/81	Power of Attorney and Correspondence Address Indication Form	sb0081_fill.pdf	http://www.uspto.gov/web/forms/sb0081_fill.pdf	Yes	No	Fillable Printable
Form	PTO/SB/82	Revocation of Power of Attorney with New Power of Attorney and Change of Correspondence Address	sb0082_fill.pdf	http://www.uspto.gov/web/forms/sb0082_fill.pdf	Yes	No	Fillable Printable
Form	PTO/SB/123	Change of Correspondence Address - Patent	sb0123_fill.pdf	http://www.uspto.gov/web/forms/sb0123_fill.pdf	Yes	No	Fillable Printable
Form	PTO/SB/124	Request for Customer Number Data Change	sb0124-fill.pdf	http://www.uspto.gov/web/forms/sb0124-fill.pdf	Yes	No	Fillable Printable

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 370,766	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 1 %

	Approved	Previously Approved
Annual Number of Responses for this IC	370,766	370,766
Annual IC Time Burden (Hours)	23,668	23,668
Annual IC Cost Burden (Dollars)	189,000	189,000

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.