Doc Code: PTO/SB/13/PCT (09-11) Approved for use through 01/31/2014. 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 displays a valid OMB control number. REQUEST FOR FILING A CONTINUATION OR DIVISION OF AN INTERNATIONAL APPLICATION DOCKET NUMBER ANTICIPATION CLASSIFICATION OF THIS APPLICATION CLASS SUBCLASS PRIOR APPLICATION EXAMINER ART UNIT Address to: Commissioner for Patents P.O. Box 1450 Alexandria, VA 22313-1450 This is a request for filing a continuation divisional application under 37 CFR 1.53(b) of pending prior international application Number PCT _________________________________________, filed on ____________________________ entitled_____________________________________________________________________________________________________ ___________________________________________________________________________________________________________, which designated the United States. (1) FOR (2) NUMBER FILED (3) NUMBER EXTRA (4) RATE ($) (5) TOTALS ($) TOTAL CLAIMS - 20 = INDEPENDENT CLAIMS (37 CFR 1.16(h)) x = -3= (37 CFR 1.16(i)) x = APPLICATION SIZE FEE (37 CFR 1.16(s)) If the specification and drawings exceed 100 sheets of paper, the application size fee due is $310 ($155 for small entity) for each additional 50 sheets or fraction thereof. See 35 U.S.C. 41(a)(1)(G) and 37 CFR 1.16(s). MULTIPLE DEPENDENT CLAIMS (37 CFR 1.16(j)) N/A BASIC FEE (37 CFR 1.16(a)) SEARCH FEE (37 CFR 1.16(k)) EXAMINATION FEE (37 CFR 1.16(o)) Total of above Reduction by 50% for filing small entity (Note 37 CFR 1.27) Total 1. Enclosed are the specification, claims and drawing(s). 2. Applicant claims small entity status. See 37 CFR 1.27. 3. The Director is hereby authorized to charge any fees which may be required under 37 CFR 1.16 and 1.17, or credit any overpayment of Deposit Account No. ____________________ . 4. A check in the amount of $ ________________ is enclosed. 5. Payment by credit card. Form PTO-2038 is attached. 6. Application Data Sheet is enclosed. See 37 CFR 1.76. 7. If a CONTINUING APPLICATION, check appropriate box, and supply the requisite information below and in the first sentence of the specification following the title, or in an Application Data Sheet under 37 CFR 1.76: Continuation Divisional of prior PCT application No.: _____________________________, filed ___________________ [Page 1 of 2] This collection of i nformation is required by 37 CFR 1.53(b). The information is required to obtain or retain a benefit by the public which is to file (and by the USPTO to pro cess) an appli cation. Confidentiality is governed by 35 U.S.C . 122 and 37 CFR 1.11 and 1 .14. This collection is estimated to ta ke 30 minutes to complete, including gathering, preparing, and submitting the completed application form to the USPTO. Time w ill vary depending upon the indiv idual case. Any comments on the amount of time you require to comple te this form and/or suggestions for reducing this burden, should be se nt to the Chief Information Officer, U.S. P atent and Trademark Office, U .S. De partment o f Commerce, P .O. B ox 1450, Alex andria, VA 2 2313-1450. DO NOT SEND FEES OR C OMPLETED 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 PTO/SB/13/PCT (09-11) Approved for use through 01/31/2014. 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 displays a valid OMB control number. REQUEST FOR FILING A CONTINUING APPLICATION OF AN INTERNATIONAL APPLICATION 8. A declaration under CFR 1.63 is enclosed. 9. Priority of foreign application number _______________________, filed on ___________________________ in ___________________________________ is claimed under 35 U.S.C. 119(a)-(d). The certified copy is enclosed. 10. A preliminary amendment is enclosed. 11. Also enclosed: ________________________________________________________________________ Address all future correspondence to: (May only be completed and signed by applicant, or attorney or agent of record). ______________________________________________________________________________________________________________ ______________________________________________________________________________________________________________ ______________________________________________________________________________________________________________ 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. _________________________________________________________________________________ Signature ____________________________ Date __________________________________________________________________________________ ____________________________ Typed or printed name Registration Number, if applicable ____________________________ Telephone Number Inventor(s)/Applicant(s) Assignee of the entire interest. See 37 CFR 3.71. Statement under 37 CFR 3.73(b) is enclosed. (Form PTO/SB/96). Attorney or agent of record Filed under 37 CFR 1.34 Registration number if acting under 37 CFR 1.34 _____________________________________________ NOTE: Signatures of all the inventors or assignees of record of the entire interest or their representative(s) are required. Submit multiple forms if more than one signature is required, see below*. *Total of __________________________ forms are submitted. [Page 2 of 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. 2. 3. 4. 5. 6. 7. 8. 9. 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. 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. 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 with respect to the subject matter of the record. 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A record from this system of records may be disclosed, as a routine use, to the Administrator, General Services, or his/her designee, during an inspection of records conducted by GSA as part of that agency’s responsibility to recommend improvements in records management practices and programs, under authority of 44 U.S.C. 2904 and 2906. Such disclosure shall be made in accordance with the GSA regulations governing inspection of records for this purpose, and any other relevant (i.e., GSA or Commerce) directive. Such disclosure shall not be used to make determinations about individuals. A record from this system of records may be disclosed, as a routine use, to the public after either publication of the application pursuant to 35 U.S.C. 122(b) or issuance of a patent pursuant to 35 U.S.C. 151. Further, a record may be disclosed, subject to the limitations of 37 CFR 1.14, as a routine use, to the public 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 inspection or an issued patent. A record from this system of records may be disclosed, as a routine use, to a Federal, State, or local law enforcement agency, if the USPTO becomes aware of a violation or potential violation of law or regulation. American LegalNet, Inc. www.FormsWorkFlow.com