Transmittal Form

Patent Processing

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0651-0031 can be found here:

Documents and Forms

Document Name Document Type
Form PTO/SB/21 Transmittal Form Form and Instruction
PTO/SB/21 Transmittal Form sb0021 Transmittal Form.pdf www.uspto.gov/web/forms/sb0021.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Transmittal Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 37 CFR 1.121 37 CFR 1.4 37 CFR 1.5 37 CFR 1.48 37 CFR 1.111 37 CFR 1.116 37 CFR 1.125 37 CFR 1.133 37 CFR 1.201

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	PTO/SB/21	Transmittal Form	sb0021 Transmittal Form.pdf	http://www.uspto.gov/web/forms/sb0021.pdf	Yes	Yes	Fillable Fileable Signable

Line of Business: Economic Development

Subfunction: Intellectual Property Protection

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 50,000	Number of Respondents for Small Entity: 12,500

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	50,000	50,000
Annual IC Time Burden (Hours)	100,000	100,000
Annual IC Cost Burden (Dollars)	68,000	68,000

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.