PTO/SB/29A For Design Applications Only - Receipt for Facsimile Tra

PTO/SB/29A (07-07)

Approved for use through XX/XX/XXXX. OMB 0651-0032

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.

If this RECEIPT is included with a request for a CPA filed by facsimile
transmission, it will be date stamped and mailed to the ADDRESS in item 1.

1. ADDRESS

Applicant’s Mailing Address for this receipt must be
CLEARLY PRINTED or TYPED in the box below.

FOR DESIGN APPLICATIONS ONLY
RECEIPT
FOR
FACSIMILE TRANSMITTED
CPA
(To accompany a request for

a Continued Prosecution Application (CPA)

under 37 CFR 1.53(d)

filed by facsimile transmission)

NOTE: By this receipt, the USPTO (a) acknowledges that a
request for a CPA in a design application was filed by facsimile transmission on
the date stamped below by the USPTO and (b) verifies only that the application number provided
by the applicant on this receipt is the same as the application number provided on the
accompanying request for a CPA. This receipt CANNOT be used to acknowledge receipt of any
paper(s) other than the request for a CPA.
2. APPLICATION IDENTIFICATION:
(Provide at least enough information to identify the application)

a. For prior application
Application No:

………………………………………….....………..…………...

Filing Date:

………………………………………….....………..…………...

Title:

………………………………………….....………..…………...

Attorney Docket No:

………………………………………….....………..…………...

First Named Inventor:

………………………………………….....………..…………...

b. For instant CPA application
New Attorney Docket No: ………………………………………….....………..…………...
(if applicable)

The USPTO date stamp, which appears in the box to the
right, is an acknowledgement by the USPTO of receipt of
a request for a CPA filed by facsimile transmission on
the date indicated below.
USPTO HANDLING INSTRUCTIONS:
Please stamp area to the right with the date the complete
transmission of the request for a CPA was received in the USPTO
and also include the USPTO organization name that provided the
date stamp (stamp may include both items). Verify that the
application number provided by applicant on this receipt is the same
as the application number provided by applicant on the request for a
CPA accompanying this receipt. If there is an inconsistency
between the application number provided on this receipt and the
request for a CPA, strike through the inconsistent application
number provided on this receipt and insert the correct application
number, if possible. Then place in a window envelope and mail.

(THIS AREA FOR PTO DATE STAMP USE)

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 currently valid OMB
Control Number. The OMB Control Number for this information collection is 0651-0035. Public burden for this form is estimated to average 24 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 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. If filing this completed form by mail, send to:
Commissioner for Patents, P.O. Box 1450, Alexandria, VA 22313-1450.
If you need assistance in completing the form, call 1-800-PTO-9199 (1-800-786-9199) 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,
international agency, in response to its request; 3) a contractor of the USPTO having need
local, or
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
has requested the Member’s assistance with respect to the subject matter of the record; 6)
individual
a court, magistrate, or administrative tribunal, in the course of presenting evidence, including
disclosures to opposing counsel in the course of settlement negotiations; 7) the Administrator,
Services Administration (GSA), or their designee, during an inspection of records conducted
General
by GSA under authority of 44 U.S.C. 2904 and 2906, in accordance with the GSA regulations and any
other relevant (i.e., GSA or Commerce) directive, where such disclosure shall not be used to make
determinations about individuals; 8) another federal agency for purposes of National Security review

(35 U.S.C.
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.
not furnish the information requested on this form, the USPTO may not be able to process
If you do
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.