* Total of __________
PTO/AIA/22 (10-20)
Approved for use through 11/30/2020. 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.
PETITION FOR EXTENSION OF TIME UNDER 37 CFR 1.136(a)
Docket Number (Optional)
Application Number Filed
For
Art Unit Examiner
This is a request under the provisions of 37 CFR 1.136(a) to extend the period for filing a reply in the above-identified application.
The requested extension and fee are as follows (check time period desired and enter the appropriate fee below):
Fee Small Entity Fee Micro Entity Fee
One month (37 CFR 1.17(a)(1))
$110 $55
$ _____________________
Two months (37 CFR 1.17(a)(2))
$320 $160
$ _____________________
Three months (37 CFR 1.17(a)(3))
$740 $370
$ _____________________
Four months (37 CFR 1.17(a)(4))
$1,160 $580
$ _____________________
Five months (37 CFR 1.17(a)(5))
$220
$640
$1,480
$2,320
$3,160
$1,580 $790 $ _____________________
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.
A check in the amount of the fee is enclosed.
Payment by credit card. Form PTO-2038 is attached.
The Director has already been authorized to charge fees in this application to a Deposit Account.
The Director is hereby authorized to charge any fees which may be required, or credit any overpayment, to
Deposit Account Number ____________________________.
Payment made via EFS-Web.
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.
I am the
applicant.
attorney or agent of record. Registration number _____________________________.
attorney or agent acting under 37 CFR 1.34. Registration number _____________________________.
___________________________________________________ ___________________________________________________
Signature Date
___________________________________________________ ___________________________________________________
Typed or printed name Telephone Number
NOTE: This form must be signed in accordance with 37 CFR 1.33. See 37 CFR 1.4 for signature requirements and certifications. Submit
multiple forms if more than one signature is required, see below*.
______ forms are submitted.
This collection of information is required by 37 CFR 1.136(a). 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 1.11 and 1.14. This collection is estimated to take 6 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: Mail Stop PCT, Commissioner for Patents, P.O. Box 1450, Alexandria, VA 22313-1450.
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 t
he Freedom of
Information Ac
t (5 U.S.C. 552) and the Privacy Act (5 U.S.C 552a). Records from this system of re
cords 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 us
e, in the course of presenting evidence
to a court, magistrate, or administrative tribunal, includin
g disclosures to opposing counsel in the co
urse 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 individu
al, to whom the record pertains, when the individual has r
equested assistance from
the Member with respect to the subject matter of the record.
4.
A record in thi
s system of records may be disclosed, as a routine use, to a contractor of the Agency
having
need for the information in order to perform a contract. Recipients of information shall be required to comply
with the requirements of the Privacy Act of 1974, as amended, pursuant to 5 U.S.C. 552a(m).
5.
A record related to an International Applic
ation filed under the Patent Cooperation Treaty in this sy
stem of
records may be disclosed, as a routine use, to the International Bureau of the World Intellectual Property
Organization,
pursuant to the Patent Coop
eration Treaty.
6.
A record in thi
s system of records may be disclosed, as a routine use, to another federal agency fo
r purposes
of National
Security review (35 U.S.C. 181) and for review pursuant to the Atomic En
ergy Act (42 U.S.C.
218(c)).
7.
A record from this system of records may be disclosed, as a routine use, to the Administrator, General
Services, or his/her designe
e, during an inspection of records conducted by GSA as
part of that agency’s
responsibility t
o recommend improvements in records management practices and pro
grams, under authority of
44 U.S.C. 290
4 and 2906. Such disclosure shall be made in accordance with the GSA regulations
governing
inspection of r
ecords for this purpose, and any other relevant (i.e., GSA or Commerce) directive.
Such
disclosure shall not be used to make determinations about individuals.
8.
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. Fu
rther, a
record may be disclosed, su
bject to the limitations of 37 CFR 1.14, as a routine use, to the public if
the record
w
as filed in an application which became abandoned or in which the proceedings were terminated and wh
ich
application is r
eferenced by either a published application, an application open to public inspection
or an issued
patent.
9.
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 becom
es aware of a violation or potential violation of law
or regulation.