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pdfPro Bono Patent Program: QUARTERLY METRIC REPORTING QUESTIONNAIRE
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OMB No. 069-0030
Expires 06 /30/2017
Pro Bono Patent Program: QUARTERLY
METRIC REPORTING
QUESTIONNAIRE
* Required
1. What is the name of your USPTO regional pro bono patent program?*
2. Reporting Period *
3. How may applicants requested services from your program this quarter?*
4. What States does your program serve?*
[Check all that apply]
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
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Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachussetts
Michigan
Minnesota
Wyoming
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
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Wisconsin
Mississippi
Referral Sources
5. Number of applicants applying from each State?
[e.g. CA = 35; NV = 6; HI = 2; AK = 1; etc.]
6. Number of applicants referred to your program by the Federal Circuit Bar?*
7. Number of applicants that came directly to your regional program?*
8. Number of applicants that came from another source?
If applicable, list other sources of referrals:
(e.g. from a law firm; law school; small business development center office; etc,)
Financial Screening
9. Number of financial screening applications sent to applicants?
[Where regional program uses a financial screening application form]
10. Number of applicants completing and returning the financial screening application?
[Where regional program uses a financial screening application form]
11. Number of applicants failing to return the financial screening applications?
[Where regional program uses a financial screening application form]
12. Number of applicant financial screenings approved?
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13. Number of applicant financial screenings denied?
Invention Screening
14. Number of invention screenings approved?
15. Number of invention screenings denied?
Disqualifications
16. Total number of applicants disqualified (for any reason)?
List some reasons for program disqualifications below:
Placement Information
17. Total number of applicants actually placed with a provider for services?*
[Providers include: law firms; in-house legal teams; solo attorneys; etc.]
18. Total number of out-of-state applicants placed with a provider for services?
19. Total number of applicants placed -- but cancelled -- when applicant could not pay the
administrative fee?
20. Total number of applicants that cancelled the process prior to placement?
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Fee Information
21. Total administrative fees collected during the quarter?
[ e.g. $1,000]
22. Total administrative fees refunded during the quarter?
[ e.g. $1,000]
Panel Attorney Information
23. Number of lawyer referral service panel attorneys serving in your program as of the last day of this
quarter?
24. Number of lawyer referral service panel attorneys serving in your program accepting cases?
25. Number of lawyer referral service panel attorneys serving in your program that support the
program with financial contributions?
26. Total number of hours donated by lawyer referral service panel attorneys serving in your
program? *
27. Total number of hours donated by ASSOCIATE level attorneys?
28. Total number of hours donated by PARTNER level attorneys?
29. Total number of hours donated by IN-HOUSE attorneys?
30. Please estimate the total dollar value of hours donated by lawyer referral service panel attorneys
serving in your program? *
[This is an estimate of the value of legal services by associates, partners, corporate counsel, etc.]
31. Please estimate the total dollar value of services provided your program's staff?
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[This is an estimate of the value of counseling services by program staff, etc.]
32. Please estimate the average dollar value of services provided per applicant?
[Estimated total value of services provided / divided by the total number of applicants requesting services]
33. How many panel attorneys dropped out of the program during this quarter?
34. If panel attorneys dropped out of the program -- what were some of the reasons given for droppingout?
Patent Categories
35. Number of applicants receiving services by patent CATEGORY: MECHANICAL
36. Number of applicants receiving services by patent CATEGORY: ELECTRICAL ENGINEERING
37. Number of applicants receiving services by patent CATEGORY: CHEMICAL AND BIOTECH
38. Number of applicants receiving services by patent CATEGORY: OTHER
Service Categories
39. Number of applicants handled by type of patent SERVICE: FILING APPLICATIONS
40. Number of applicants handled by type of patent SERVICE: OFFICE ACTION REPLIES
41. Number of applicants handled by type of patent SERVICE: ABANDONMENT
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42. Number of applicants handled by type of Patent Service: GENERAL COUNSELING
43. Number of applicants handled by type of patent SERVICE: OTHER
Patent Types & Filing Information
44. Total number of provisional patent filings? *
45. Total number of non-provisional patent applications?*
46. Total number of design patent applications?*
47. Total number of applications advanced in prosecution?
48. Total number of applications filed under Track One for expedited prosecution?
49. Total number of applications subject to an examiner interview?
50. Total number applications abandoned by applicants? *
51. Total number of patents issued?*
52. Number of patents issued CATEGORY: MECHANICAL
53. Number of patents issued CATEGORY: ELECTRICAL ENGINEERING
54. Number of patents issued CATEGORY: CHEMICAL AND BIOTECH
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55. Number of patents issued CATEGORY: OTHER
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File Type | application/pdf |
File Title | https://docs.google.com/forms/d/1a0UNoK9oc6d8p0CQvRIZA2rBhoFq4o |
Author | wcorboy |
File Modified | 2015-01-21 |
File Created | 2014-12-16 |