Form No form number No form number Petition to Amend Basis Post-Publication

Response to Office Action and Voluntary Amendment Forms

Trademark Electronic Application System (TEAS) application

Petition to Amend Basis Post-Publication (TEAS Global) (Individuals and Households)

OMB: 0651-0050

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Trademark Electronic Application System (TEAS) application

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Trademark Electronic Application System

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.
Global Format; No Form Number (Rev 01/2012)
OMB No. 0651-0050 (Exp. 09/20/2020)

Petition to Amend Basis Post-Publication
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Use this option ONLY if a specifc TEAS form does not already exist for the purpose of this fling. Please
double-check all possible TEAS forms before attempting to proceed.
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any unsaved data in the form. Please have all of your information ready before you start.

NOTE: You must complete any feld/section preceded by the symbol "*".
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Paperwork Reduction Act Statement
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. This Post Publication Amendment
Form is estimated to take 25 minutes to complete and submit to USPTO. Any comments on the
amount of time you require to complete this activity and/or suggestions for reducing this burden,
should be sent to the Chief Administrative Officer, United States Patent and Trademark Office,
P.O. Box 1450, Alexandria, VA 22313-1450.
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 an application for a trademark/servicemark.
The authority for the collection of this information is 35 U.S.C. 2(b)(2); (2). The information in
this system of records is used to disseminate information about Trademarks submission or other
Trademark related actions before the United States Patent Office. However, routine uses of this
information may include disclosure to the following: to law enforcement and investigation in the
event that the system of records indicates a violation or potential violation of law; to a Federal,
state, local, or international agency, in response to its request; to an agency, organization, or
individual for the purpose of performing audit or oversight operations as authorized by law; to
non-federal personnel under contract to the agency; to a court for adjudication and litigation; to
the Department of Justice for Freedom of Information Act (FOIA) assistance; to members of
Congress working on behalf of an individual; to the Office of Personnel Management for
personnel research purposes; to National Archives and Records Administration for inspection of
records; and to the Office of Management and Budget for legislative coordination and clearance.
Disclosure of the information by you is voluntary; however, if you do not furnish the requested
information, the USPTO may not be able to process and/or examine your submission, which may
result in termination of proceedings or abandonment of the application for a trademark. The
applicable Privacy Act System of Records Notice for this information request is COMMERCE/
USPTO-26, Trademarks Application and Registration Records: Federal Register vol. 85 February
18, 2020, p 8847, available at https://www.govinfo.gov/ content/pkg/FR-2020-02-18/
pdf/2020-03068.pdf.


File Typeapplication/pdf
File TitleTrademark Electronic Application System (TEAS) application
File Modified2020-09-30
File Created2020-09-28

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