Privacy Act Statement
This information is collected under the authority of 35 USC 2 and 122. This information is also being collected in conjunction with the provisions
of the Government Paperwork Elimination Act. This information will only be used by the
U.S. Patent and Trademark Office (USPTO) staff to issue and revoke Patent Electronic System accounts. It is requested that you supply this
information so that the USPTO can authorize the creation of a Patent Electronic System account. Furnishing the information on this form
is voluntary, but failure to do so may result in disapproval of this request. The information provided by
you in this form will be subject to the following routine uses:
This information may be disclosed to Federal, state, local, or foreign agencies responsible for investigating, prosecuting, enforcing, or
implementing laws, contracts, rules, or regulations, if these records indicate a violation or a potential violation of a law or contract.
These violations or potential violations can be civil, criminal, or regulatory in nature and can arise from general or particular program
statutes or contracts, rules, regulations, or from the necessity of protecting an interest of the Department.
A record from this system of records may be disclosed to a Federal, state or local agency maintaining civil, criminal or other relevant
enforcement information or other pertinent information, such as current licenses, if necessary to obtain information relevant to a
Department decision concerning the assignment, hiring or retention of an individual, the issuance of a security clearance, the letting
of a contract, or the issuance of a license, grant or other benefit.
A record from this system of records may be disclosed 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 to a member of Congress or to a congressional staff member in response to an
inquiry of the Congressional office made at the written request of the constituent about whom the record is maintained.
A record in this system of records may be disclosed to the Department of Justice to determine whether disclosure is required by the
Freedom of Information Act (FOIA).
The information may be disclosed to the agency contractors who have been engaged by the agency to assist in the performance of a
service related to this system of records and who have need to have access to the records in order to perform the activity.
Recipients of information shall be required to comply with the requirements of the Privacy Act of 1974, as amended, pursuant to 5
The information may be disclosed to the Office of Personnel Management (OPM) for personnel research purposes as a data source
for management information, for the production of summary descriptive statistics and analytical studies in support of the function
for which the records are collected and maintained, or for related man‐power studies.
Records from this system of records may be disclosed to the National Archives and Records Administration or to the General
Services Administration for records management inspections conducted under 44 USC §§ 2904 and 2906.
A record from this system of records may be disclosed, as a routine use, to a Federal, state, local, or international agency, in
response to its request, in connection with the assignment, hiring or retention of an individual, the issuance of a security clearance,
the reporting of an investigation of an individual, the letting of a contract, or the issuance of a license, grant, or other benefit by the
requesting agency, to the extent that the information is relevant and necessary to the requesting agency's decision on the matter.