PTO/SB/22 Petition for Extension of Time Under 37 CFR 1.136(a)

PTO/SB/22 (12-22)
Approved for use through xx/xx/xxxx. OMB 0651-0031
U.S. Patent and Trademark Office; U.S. DEPARTMENT OF COMMERCE
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Docket Number (Optional)

PETITION FOR EXTENSION OF TIME UNDER 37 CFR 1.136(a)
Application Number

Filed

For
Art Unit

Examiner

This is a request under the provisions of 37 CFR 1.136(a) to extend the period for filing a reply in the above-identified application.
The requested extension and fee are as follows (check time period desired and enter the appropriate fee below):
Fee

Small Entity Fee

Micro Entity Fee

One month (37 CFR 1.17(a)(1))

$220

$88

$44

$ _____________________

Two months (37 CFR 1.17(a)(2))

$640

$256

$128

$ _____________________

Three months (37 CFR 1.17(a)(3))

$1,480

$592

$296

$ _____________________

Four months (37 CFR 1.17(a)(4))

$2,320

$928

$464

$ _____________________

Five months (37 CFR 1.17(a)(5))

$3,160

$1,264

$632

$ _____________________

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.

A check in the amount of the fee is enclosed.
Payment by credit card. Form PTO-2038 is attached.
The Director has already been authorized to charge fees in this application to a Deposit Account.
The Director is hereby authorized to charge any fees which may be required, or credit any overpayment, to
Deposit Account Number ____________________________.
Payment made via EFS-Web.
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.
I am the
applicant/inventor.
assignee of record of the entire interest. See 37 CFR 3.71. 37 CFR 3.73(b) statement is enclosed (Form PTO/SB/96).
attorney or agent of record. Registration number _____________________________.
attorney or agent acting under 37 CFR 1.34. Registration number _____________________________.
___________________________________________________
Signature

___________________________________________________
Date

___________________________________________________
Typed or printed name

___________________________________________________
Telephone Number

NOTE: This form must be signed in accordance with 37 CFR 1.33. See 37 CFR 1.4 for signature requirements and certifications. Submit
multiple forms if more than one signature is required, see below*.
* Total of ________________ forms are submitted.
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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
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