Form PTO-1382 Transmittal Letter to the United States Receiving Office

PT0-1382 (Rev. 01-2017)
Approved for use through XX/XX/XXXX. OMB 0651-0021
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.

TRANSMITTAL LETTER TO THE UNITED STATES RECEIVING OFFICE (RO/US)
Priority Mail Express Mailing Label No.:

Date of Deposit:

File Reference No.:

International Application No. (If known):

Customer Number1:

Earliest Priority Date Claimed (dd/mm/yyyy):

Title of Invention:
Applicant:
1

Customer Number will allow access to the appl ication in Private PAIR but cannot be used to establish or change the correspondence address.

This is a new International Application
SCREENING DISCLOSURE INFORMATION:
In order to assist in screening the accompanying international application for purposes of determining whether a license for foreign transmittal should
and could be granted and for other purposes, the following information i s supplied. (check all boxes as apply):
The invention disclosed was not made in the United States of America.
There is no prior U.S. application relating to this invention.
The following prior U.S. application(s) contain subject matter which is related to the invention disclosed in the attached international
application. (NOTE: priority to these applications may or may not be claimed on the Request (form PCT/RO/101) and this listing does not
constitute a claim for priority.)
application no.

filed on

application no.

filed on

The present international application contains additional subject matter not found in the prior U.S. application(s) identified above. The
additional subject matter is found on pages________________________________________________
and

DOES NOT ALTER

MIGHT BE CONSIDERED TO ALTER the general nature of the invention in a manner which would

require the U.S. application to have been made available for inspection by the appropriate defense agencies under 35 U.S.C. 181 and
37 C.F.R. 5.15.

Itemized list of contents & entity status
Sheets of Request form:

Check no.:

Sheets of description
(excluding sequence listing):

Return receipt postcard:

Sheets of claims:

Sheets of drawings:

Power of attorney:
Certified copy of priority
document (specify):
PTO/SB15A or B or equivalent:

Sheets (paper or pdf) of sequence listing:

Other (specify):

Sheets of abstract:

Sequence listing text file:
CD or diskette
via EFS-Web
Applicant asserts small entity status. See 37 CFR 1.27. If this written assertion is made by the applicant, all applicants
must sign (37 C.F.R. §1.42)
Applicant certifies micro entity status. See 37 CFR 1.29. Applicant must attach form PTO/SB/15A or B or equivalent.

The person
signing
this form
is:

Applicant
Attorney/Agent
Registration No.
Common Representative

Name of person signing

Signature

A Federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty for failure to comply with an information
collection subject to the requirements of the Paperwork Reduction Act of 1995, unless the information collection has a valid OMB Control Number. The OMB Control Number for
this information collection is 0651-0080. Public burden for this form is estimated to average 15 minutes per response, including the time for reviewing instructions, searching
existing data sources, gathering and maintaining the data needed, and completing and reviewing the information collection. Send comments regarding this burden estimate or any
other aspect of this information collection, including suggestions for reducing this burden to the Office of the Chief Administrative Officer, United States Patent and Trademark
Office, P.O. Box 1450, Alexandria, VA 22313-1450 or email InformationCollection@uspto.gov. DO NOT SEND FEES OR COMPLETED FORMS TO THIS ADDRESS.

SEND TO: Mail Stop PCT, Commissioner for Patents, P.O. Box 1450, Alexandria, VA 22313-1450.
Page 1 of 1

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