PTO/SB/39 Authorization to Permit Access to Application by Partici

Doc Code: PD.TO.AUTH
Document Description: Authorization to access Appl. by Trilateral Office
PTO/SB/39 (07-09)
Approved for use through 07/31/2012. 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.

AUTHORIZATION TO PERMIT

ACCESS TO APPLICATION BY

PARTICIPATING OFFICES

COMPLETE IF KNOWN

Application Number
Filing Date
First Named Inventor
Attorney Docket Number

Send completed form to: Commissioner for Patents
P.O. Box 1450, Alexandria, VA 22313-1450

Title
(Required)

The undersigned hereby grants the USPTO authority to provide the European Patent Office (EPO), the
Japan Patent Office (JPO), the Korean Intellectual Property Office (KIPO), the World Intellectual Property
Office (WIPO), and any other intellectual property offices in which a foreign application claiming priority to
the above-identified patent application is filed access to the above-identified patent application. See
37 CFR 1.14(c) and (h).
In accordance with 37 CFR 1.14(h)(3), access will be provided to a copy of the above-identified application
with respect to: 1) the above-identified patent application-as-filed; 2) any foreign application to which the
above-identified patent application claims priority under 35 U.S.C. 119(a)-(d) if a copy of the foreign
application that satisfies the certified copy requirement of 37 CFR 1.55 has been filed in the aboveidentified patent application; and 3) any U.S. application-as-filed from which benefit is sought in the aboveidentified patent application.
In accordance with 37 CFR 1.14(c), access may be provided to information concerning the date of filing the
Authorization to Permit Access to Application by Participating Offices.
This written authorization should be submitted prior to the filing of a subsequent foreign application, in
which priority is claimed to the above-identified patent application, with any intellectual property office (e.g.,
the EPO, JPO, KIPO, or DAS Accessing Office). However, if applicant does not wish the EPO, JPO, KIPO,
WIPO, or other intellectual property office in which a foreign application claiming priority to the aboveidentified patent application is filed to have access to the above-identified patent application, this written
authorization should not be filed.
No fee will be charged under 37 CFR 1.19(b)(1) for providing a participating intellectual property office with
an electronic copy of the above-identified patent application.
This form must be signed by an authorized party in accordance with 37 CFR 1.14(c).

Signature

Date

Printed or Typed Name

Telephone Number

Title

Registration Number, if applicable

This collection of information is required by 37 CFR 1.14(h). 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 6
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.

Privacy Act Statement
The Privacy Act of 1974 (P.L. 93-579) requires that you be given certain information in
connection with your submission of the attached form related to a patent application or patent.
Accordingly, pursuant to the requirements of the Act, please be advised that: (1) the general
authority for the collection of this information is 35 U.S.C. 2(b)(2); (2) furnishing of the
information solicited is voluntary; and (3) the principal purpose for which the information is used
by the U.S. Patent and Trademark Office is to process and/or examine your submission related to
a patent application or patent. If you do not furnish the requested information, the U.S. Patent and
Trademark Office may not be able to process and/or examine your submission, which may result
in termination of proceedings or abandonment of the application or expiration of the patent.
The information provided by you in this form will be subject to the following routine uses:
1. The information on this form will be treated confidentially to the extent allowed under
the Freedom of Information Act (5 U.S.C. 552) and the Privacy Act (5 U.S.C. 552a).
Records from this system of records may be disclosed to the Department of Justice to
determine whether the Freedom of Information Act requires disclosure of these records.
2. A record from this system of records may be disclosed, as a routine use, in the course of
presenting evidence to a court, magistrate, or administrative tribunal, including
disclosures to opposing counsel in the course of settlement negotiations.
3. A record in this system of records may be disclosed, as a routine use, to a Member of
Congress submitting a request involving an individual, to whom the record pertains,
when the individual has requested assistance from the Member with respect to the subject
matter of the record.
4. A record in this system of records may be disclosed, as a routine use, to a contractor of
the Agency having need for the information in order to perform a contract. Recipients of
information shall be required to comply with the requirements of the Privacy Act of
1974, as amended, pursuant to 5 U.S.C. 552a(m).
5. A record related to an International Application filed under the Patent Cooperation Treaty
in this system of records may be disclosed, as a routine use, to the International Bureau of
the World Intellectual Property Organization, pursuant to the Patent Cooperation Treaty.
6. A record in this system of records may be disclosed, as a routine use, to another federal
agency for purposes of National Security review (35 U.S.C. 181) and for review pursuant
to the Atomic Energy Act (42 U.S.C. 218(c)).
7. A record from this system of records may be disclosed, as a routine use, to the
Administrator, General Services, or his/her designee, during an inspection of records
conducted by GSA as part of that agency's responsibility to recommend improvements in
records management practices and programs, under authority of 44 U.S.C. 2904 and
2906. Such disclosure shall be made in accordance with the GSA regulations governing
inspection of records for this purpose, and any other relevant (i.e., GSA or Commerce)
directive. Such disclosure shall not be used to make determinations about individuals.
8. A record from this system of records may be disclosed, as a routine use, to the public
after either publication of the application pursuant to 35 U.S.C. 122(b) or issuance of a
patent pursuant to 35 U.S.C. 151. Further, a record may be disclosed, subject to the
limitations of 37 CFR 1.14, as a routine use, to the public if the record was filed in an
application which became abandoned or in which the proceedings were terminated and
which application is referenced by either a published application, an application open to
public inspections or an issued patent.
9. A record from this system of records may be disclosed, as a routine use, to a Federal,
State, or local law enforcement agency, if the USPTO becomes aware of a violation or
potential violation of law or regulation.