PTO/SB/17i (05-15) Approved for use through 07/31/2016. OMB 0651-0031 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 PROCESSING FEE Under 37 CFR 1.17(i) TRANSMITTAL (Fees are subject to annual revision) Send completed form to: Commissioner for Patents, P.O. Box 1450, Alexandria, VA 22313-1450 Application Number Filing Date First Named Inventor Art Unit Examiner Name Practitioner Docket No. Enclosed is a paper filed under 37 CFR __________ that requires a processing fee (37 CFR 1.17(i)(1) or (2)). Payment of $ __________ is enclosed. This form should be included with the above-mentioned paper and faxed or mailed to the Office using the appropriate Mail Stop, if applicable. For transmittal of petition fees under 37 CFR 1.17(f), (g) or (h), see form PTO/SB/17p or PTO/AIA/17p, as applicable. 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. Payment of Fees The Commissioner is hereby authorized to charge the following fees to Deposit Account No. _______________: processing fee under 37 CFR 1.17(i)(1) processing fee under 37 CFR 1.17(i)(2) any deficiency of fees and credit of any overpayments Check in the amount of $ _______________ is enclosed. Payment via EFS-Web. Payment by credit card (Form PTO-2038 or equivalent is enclosed). Do not provide credit card information on this form. Processing Fees Under 37 CFR 1.17(i)(1): Undiscounted Fee $140 (Fee Code 1053) For papers filed under: Small Entity Fee $70 (Fee Code 2053) Micro Entity Fee $35 (Fee Code 3053) § 1.28(c)(3) - for processing a non-itemized fee deficiency based on an error in small entity status. § 1.29(k)(3) - for processing a non-itemized fee deficiency based on an error in micro entity status. § 1.41(b) - for supplying the name or names of the inventor or joint inventors in an application without either an application data sheet or the inventor's oath or declaration, except in provisional applications. § 1.48 - for correcting inventorship, except in provisional applications. § 1.52(d) - for processing a nonprovisional application filed with a specification in a language other than English. § 1.53(c)(3) - to convert a provisional application filed under § 1.53(c) into a nonprovisional application under § 1.53(b). § 1.71(g)(2) - for processing a belated amendment under § 1.71(g). § 1.102(e) - for requesting prioritized examination of an application. § 1.103(b) - for requesting limited suspension of action, continued prosecution application for a design patent (§ 1.53(d)). § 1.103(c) - for requesting limited suspension of action, request for continued examination (§ 1.114). § 1.103(d) - for requesting deferred examination of an application. § 1.291(c)(5) - for processing a second or subsequent protest by the same real party in interest. § 3.81 - for a patent to issue to assignee, assignment submitted after payment of the issue fee. Processing Fees Under 37 CFR 1.17(i)(2): Fee $130 (small and micro entity discounts are not available for the 37 CFR 1.17(i)(2) processing fee) For papers filed under: § 1.217 - for processing a redacted copy of a paper submitted in the file of an application in which a redacted copy was submitted for the patent application publication. FEE CODE 1808 § 1.221 - for requesting voluntary publication or republication of an application. FEE CODE 1803 SUBMITTED BY Signature Name (Print/Type) Registration No. (Attorney/Agent) Telephone Date This collection of information is required by 37 CFR 1.17. 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 5 minutes to complete, including gathering, preparing, and submitting the completed application form to the USPTO. Time will vary depending upon the individual case. Any comments on the amount of time you require to complete this form and/or suggestions for reducing this burden, should be sent to the Chief Information Officer, U.S. Patent and Trademark Office, U.S. Department of Commerce, P.O. Box 1450, Alexandria, VA 22313-1450. DO NOT SEND FEES OR COMPLETED FORMS TO THIS ADDRESS. 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 and select option 2. American LegalNet, Inc. www.FormsWorkFlow.com 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. Accordingly, pursuant to the requirements of the Act, please be advised that: (1) the general authority for the collection of this information is 35 U.S.C. 2(b)(2); (2) furnishing of the information solicited is voluntary; and (3) the principal purpose for which the information is used by the U.S. Patent and Trademark Office is to process and/or examine your submission related to a patent application or patent. If you do not furnish the requested information, the U.S. Patent and Trademark Office may not be able to process and/or examine your submission, which may result in termination of proceedings or abandonment of the application or expiration of the patent. The information provided by you in this form will be subject to the following routine uses: 1. The information on this form will be treated confidentially to the extent allowed under the Freedom of Information Act (5 U.S.C. 552) and the Privacy Act (5 U.S.C 552a). Records from this system of records may be disclosed to the Department of Justice to determine whether disclosure of these records is required by the Freedom of Information Act. 2. A record from this system of records may be disclosed, as a routine use, in the course of presenting evidence to a court, magistrate, or administrative tribunal, including disclosures to opposing counsel in the course of settlement negotiations. 3. A record in this system of records may be disclosed, as a routine use, to a Member of Congress submitting a request involving an individual, to whom the record pertains, when the individual has requested assistance from the Member wi