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Application Data Sheet (EFS-Web Submission) (Before 9-16-12) Form. This is a Official Federal Forms form and can be use in EFS-Web US Patent Office.
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Tags: Application Data Sheet (EFS-Web Submission) (Before 9-16-12), PTO-SB-14, Official Federal Forms US Patent Office, EFS-Web
PTO/SB/14 (11-08) Approved for use through 04/30/2017. OMB 0651-0032 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 contains a valid OMB control number. Application Data Sheet 37 CFR 1.76 Title of Invention Attorney Docket Number Application Number The application data sheet is part of the provisional or nonprovisional application for which it is being submitted. The following form contains the bibliographic data arranged in a format specified by the United States Patent and Trademark Office as outlined in 37 CFR 1.76. This document may be completed electronically and submitted to the Office in electronic format using the Electronic Filing System (EFS) or the document may be printed and included in a paper filed application. Secrecy Order 37 CFR 5.2 Portions or all of the application associated with this Application Data Sheet may fall under a Secrecy Order pursuant to 37 CFR 5.2 (Paper filers only. Applications that fall under Secrecy Order may not be filed electronically.) Applicant Information: Applicant 1 Applicant Authority Prefix Given Name Inventor Legal Representative under 35 U.S.C. 117 Party of Interest under 35 U.S.C. 118 Middle Name US Residency Family Name Non US Residency Active US Military Service Suffix Residence Information (Select One) City i Citizenship under 37 CFR 1.41(b) Mailing Address of Applicant: Address 1 Address 2 City Postal Code State/Province i Country of Residence State/Province i Country Add All Inventors Must Be Listed - Additional Inventor Information blocks may be generated within this form by selecting the Add button. Correspondence Information: Enter either Customer Number or complete the Correspondence Information section below. For further information see 37 CFR 1.33(a). An Address is being provided for the correspondence Information of this application. Customer Number Email Address Add Email Remove Email Application Information: Title of the Invention Attorney Docket Number Application Type Subject Matter Suggested Class (if any) Suggested Technology Center (if any) Total Number of Drawing Sheets (if any) EFS Web 2.2.3 Small Entity Status Claimed Sub Class (if any) Suggested Figure for Publication (if any) PTO/SB/14 (11-08) Approved for use through 04/30/2017. OMB 0651-0032 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 contains a valid OMB control number. Application Data Sheet 37 CFR 1.76 Title of Invention Attorney Docket Number Application Number Publication Information: Request Early Publication (Fee required at time of Request 37 CFR 1.219) Request Not to Publish. I hereby request that the attached application not be published under 35 U.S. C. 122(b) and certify that the invention disclosed in the attached application has not and will not be the subject of an application filed in another country, or under a multilateral international agreement, that requires publication at eighteen months after filing. Representative Information: Representative information should be provided for all practitioners having a power of attorney in the application. Providing this information in the Application Data Sheet does not constitute a power of attorney in the application (see 37 CFR 1.32). Enter either Customer Number or complete the Representative Name section below. If both sections are completed the Customer Number will be used for the Representative Information during processing. Please Select One: Customer Number Customer Number US Patent Practitioner Limited Recognition (37 CFR 11.9) Domestic Benefit/National Stage Information: This section allows for the applicant to either claim benefit under 35 U.S.C. 119(e), 120, 121, or 365(c) or indicate National Stage entry from a PCT application. Providing this information in the application data sheet constitutes the specific reference required by 35 U.S.C. 119(e) or 120, and 37 CFR 1.78(a)(2) or CFR 1.78(a)(4), and need not otherwise be made part of the specification. Prior Application Status Application Number Continuity Type Prior Application Number Remove Filing Date (YYYY-MM-DD) Additional Domestic Benefit/National Stage Data may be generated within this form by selecting the Add button. Foreign Priority Information: This section allows for the applicant to claim benefit of foreign priority and to identify any prior foreign application for which priority is not claimed. Providing this information in the application data sheet constitutes the claim for priority as required by 35 U.S.C. 119(b) and 37 CFR 1.55(a). Remove Application Number Countryi Parent Filing Date (YYYY-MM-DD) Priority Claimed Yes No Additional Foreign Priority Data may be generated within this form by selecting the Add button. Assignee Information: Providing this information in the application data sheet does not substitute for compliance with any requirement of part 3 of Title 37 of the CFR to have an assignment recorded in the Office. Assignee 1 EFS Web 2.2.3 PTO/SB/14 (11-08) Approved for use through 04/30/2017. OMB 0651-0032 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 contains a valid OMB control number. Application Data Sheet 37 CFR 1.76 Title of Invention If the Assignee is an Organization check here. Prefix Given Name Attorney Docket Number Application Number Middle Name Family Name Suffix Mailing Address Information: Address 1 Address 2 City Countryi Phone Number Email Address Additional Assignee Data may be generated within this form by selecting the Add button. State/Province Postal Code Fax Number Signature: A signature of the applicant or representative is required in accordance with 37 CFR 1.33 and 10.18. Please see 37 CFR 1.4(d) for the form of the signature. Signature First Name Last Name Date (YYYY-MM-DD) Registration Number This collection of information is required by 37 CFR 1.76. The information is required to obtain or retain a benefit by the public which is to file (and by the USPTO to process) an application. Confidentiality is governed by 35 U.S.C. 122 and 37 CFR 1.14. This collection is estimated to take 23 minutes to complete, including gathering, preparing, and submitting the completed application da