PTO/SB/56 (10‐20)
Approved for use through 03/31/2023. OMB 0651‐0033
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.
REISSUE APPLICATION FEE TRANSMITTAL FORM
Docket Number (Optional)
Application as Filed
Part 1
(1)
Claims
in
Patent
(2)
Claims Filed
in Reissue
Application
(3)
Number
Extra
Micro Entity Small Entity Undiscounted
Rate ($) Fee ($) Rate ($) Fee ($) Rate ($) Fee ($)
Total Claims
(37 CFR 1.16(i)) (A) (B) * = x = x = x =
Ind. Claims
(37 CFR 1.16(h)) (C) (D) ** = x = x = 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 $420 ($210 for small
entity, $105 for micro entity) for each additional 50 sheets
or fraction thereof. See 35 U.S.C. 41(a)(1)(G) and 37 CFR
1.16(s).
Filing Fee (37 CFR 1.16(e))
Search Fee (37 CFR 1.16(n))
Examination Fee (37 CFR 1.16(r))
Total Filing Fee
Application as Amended – Part 2
(1)
Claims
Remaining
After
Amendment
(2)
Highest
Number
Previously
Paid For
(3)
Extra
Claims
Present
Micro Entity Small Entity Undiscounted
Rate ($) Fee ($) Rate ($) Fee ($) Rate ($) Fee ($)
Total Claims
(37 CFR 1.16(i)) *** ‐ **** = x = x = x =
Ind. Claims
(37 CFR 1.16(h)) *** ‐ ***** = x = x = 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 $420 ($210 for small entity, $105
for micro entity) for each additional 50
sheets or fraction thereof. See 35 U.S.C.
41(a)(1)(G) and 37 CFR 1.16(s).
Total Additional Fee
* Enter (B)
20, or enter “0” if (B) is less than 20.
** Enter (D) – minus 3, or enter “0” if (D) is less than 3.
*** After any cancellation of claims.
**** If the “Highest Number of Total Claims Previously Paid For” is less than 20, enter “20” in this space.
***
** If the “Highest Number of Independent Claims Previously Paid For” is less than 3, enter “3” in this space.
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.
The Director is hereby authorized to charge any additional fees under 37 CFR 1.16 or 1.17 which may be required, or credit any
overpayment to Deposit Account No. ______________________.
A check in the amount of $ __________ to cover the filing/additional fee is enclosed.
Payment made via EFS‐Web.
Pa
yment by credit card. Form PTO‐2038 is attached. 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 Regi
stration Number, if applicable
_______________________________________
Telephone Number
This collection of information is required by 37 CFR 1.16. 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, 1.14 and 41.6. This collection is estimated to take 12 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.
