Form PTO/SB/56 Reissue Application Fee Transmittal Form

PTO/SB/56 (12‐22) 
Approved  for  use  through  XX/XX/XXXX. OMB 0651‐0033 
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. 

Docket Number (Optional) 

REISSUE APPLICATION FEE TRANSMITTAL FORM 

Total Claims 
(37 CFR 1.16(i)) 
Ind. Claims 
(37 CFR 1.16(h)) 
Application Size 
Fee 
(37 CFR 1.16(s)) 

Total Claims 
(37 CFR 1.16(i)) 
Ind. Claims 
(37 CFR 1.16(h)) 
Application Size 
Fee 
(37 CFR 1.16(s)) 

Application as Filed – Part 1
Micro Entity

(1) 
Claims 
in 
Patent 

(2) 
Claims Filed 
in Reissue 
Application 

(A) 

(B) 

*                = 

x              = 

(C) 

(D) 

**              = 

x              = 

(3) 
Number 
Extra 

Rate ($)

Fee ($)

Small Entity

Undiscounted

Rate ($)

Fee ($) 

x                 = 

x              = 

x                 = 

x              = 

If the specification and drawings exceed 100 sheets of 
paper, the application size fee due is $420 ($168 for small 
  micro

  each

  sheets

entity, $84 for
entity)
for
additional
50
or fraction thereof. See 35 U.S.C. 41(a)(1)(G) and 37 CFR 
1.16(s). 

Filing Fee (37 CFR 1.16(e))
Search Fee (37 CFR 1.16(n))
Examination Fee (37 CFR 1.16(r))
Total Filing Fee 
Application as Amended – Part 2
(1) 
(2) 
(3)
Micro Entity
Claims 
Highest 
Extra 
Rate ($)
Fee ($)
Remaining 
Number 
Claims 
After 
Previously  Present 
Amendment 
Paid For 

Rate ($) 

Fee ($)

Small Entity
Rate ($)

Undiscounted

Fee ($) 

Rate ($) 

Fee ($)

***         

 ‐ 

**** 

= 

x              = 

x                 = 

x              = 

***         

 ‐ 

***** 

= 

x              = 

x                 = 

x              = 

If the specification and drawings exceed 
100 sheets of paper, the application size 
fee due is $420 ($168 for small entity, $84  
for micro entity) for each additional  50  
sheets or fraction thereof. See 35 U.S.C. 
41(a)(1)(G) and 37 CFR 1.16(s). 

Total Additional Fee
*          Enter (B) – 20, or enter “0” if (B) is less than 20.
**        Enter (D) – minus 3, or enter “0” if (D) is less than 3. 
***      After any cancellation of claims. 
****    If the “Highest Number of Total Claims Previously Paid For” is less than 20, enter “20” in this space. 
*****  If the “Highest Number of Independent Claims Previously Paid For” is less than 3, enter “3” in this space. 
          Applicant asserts small entity status. See 37 CFR 1.27. 

          Applicant certifies micro entity status. See 37 CFR 1.29. 
          Form PTO/SB/15A or B or equivalent must either be enclosed or have been submitted previously. 
          The Director is hereby authorized to charge any additional fees under 37 CFR 1.16 or 1.17 which may be required, or credit any 
          overpayment to Deposit Account No. ______________________. 
          A check in the amount of $ __________  to  cover the filing/additional fee is enclosed. 
          Payment made via USPTO's patent

electronic filing system (Patent Center or EFS‐Web).
          Payment by credit card. Form PTO‐2038 is attached. WARNING:  Information on this form may become public. Credit card information 
          should not be included on this form. Provide credit card information and authorization on PTO‐2038. 
          __________________________________________________                    _______________________________________ 
                                           Signature                                                                                                                Date 
          __________________________________________________                    _______________________________________ 
                                  Typed or Printed Name                                                                           Registration Number, if applicable 
                                                                                                                                            _______________________________________ 
                                                                                                                                                                      Telephone Number
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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. The United States Patent and Trademark Office (USPTO)
collects the information in this record under authority of 35 U.S.C. 2. The USPTO’s system of records is used to manage
all applicant and owner information including name, citizenship, residence, post office address, and other information
with respect to inventors and their legal representatives pertaining to the applicant's/owner’s activities in connection
with the invention for which a patent is sought or has been granted. The applicable Privacy Act System of Records Notice
for the information collected in this form is COMMERCE/PAT-TM-7 Patent Application Files, available in the Federal
Register at 78 FR 19243 (March 29, 2013). https://www.govinfo.gov/content/pkg/FR-2013-03-29/pdf/2013-07341.pdf
Routine uses of the information in this record may include disclosure to: 1) law enforcement, in the event that the
system of records indicates a violation or potential violation of law; 2) a Federal, state, local, or international agency, in
response to its request; 3) a contractor of the USPTO having need for the information in order to perform a contract; 4)
the Department of Justice for determination of whether the Freedom of Information Act (FOIA) requires disclosure of the
record; 5) a Member of Congress submitting a request involving an individual to whom the record pertains, when the
individual has requested the Member’s assistance with respect to the subject matter of the record; 6) a court,
magistrate, or administrative tribunal, in the course of presenting evidence, including disclosures to opposing counsel in
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181) and for review pursuant to the Atomic Energy Act (42 U.S.C. 218(c)); 9) the Office of Personnel Management (OPM)
for personnel research purposes; and 9) the Office of Management and Budget (OMB) for legislative coordination and
clearance.
If you do not furnish the information requested on this form, the USPTO may not be able to process and/or examine your
submission, which may result in termination of proceedings, abandonment of the application, and/or expiration of the
patent.

Additional Uses
Additional USPTO uses of the information in this record may include disclosure to: 1) the International Bureau of the
World Intellectual Property Organization, if the record is related to an international application filed under the Patent
Cooperation Treaty; 2) the public i) after publication of the application pursuant to 35 U.S.C. 122(b), ii) after issuance of
a patent pursuant to 35 U.S.C. 151, iii) 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, or iv) without publication of the application or patent under the specific
circumstances provided for by 37 CFR 1.14(a)(1)(v)-(vii); and/or 3) the National Archives and Records Administration, for
inspection of records.