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OED PRIVACY ACT ADVISORY STATEMENT
The Privacy Act of 1974 (P.L. 93-579) requires that you be given certain information in connection with the
request for information solicited on attached forms PTO-158 and PTO-275. Accordingly, pursuant to the
requirements of the Act, please be advised that (i) the authority for the collection of this data is 35 U.S.C.
§§ 1.6 and 31, (ii) furnishing of the information solicited is voluntary, and (iii) the principal purpose for which
the data will be used is to maintain current information relating to your eligibility and fitness for registration to
practice before the United States Patent and Trademark Office in patent cases. If you do not furnish the
requested information, you will not be admitted to the registration examination or registered to practice before
the United States Patent and Trademark Office.
The information provided by you in this form will be subject to the following routine uses:
1. Information may be published by the United States Patent and Trademark Office in the Official
Gazette to solicit information tending to affect your eligibility on moral, ethical, or other grounds for registration
pursuant to 37 CFR § 11.7.
2. Disclosure may be made to any Government agency, professional organization, or individual if
necessary to obtain information relevant to an investigation concerning the suitability of an applicant for
registration to practice before the Patent and Trademark Office.
3. Disclosure may be made to a Federal, state, local, foreign, tribal, or other public authority, of the fact
that this system of records contains information relevant to the retention of an employee, retention of a
security clearance, the letting of a contract, or the issuance or retention of a license, grant, or other benefit.
The other agency or licensing organization may then make a request supported by the written consent of the
individual for the entire record if it so chooses. No disclosure will be made unless the information has been
determined to be sufficiently reliable to support a referral to another office within the agency, or to another
Federal agency for criminal, administrative, personnel, or regulatory action.
4. To a court or adjudicative body in a proceeding when: (a) the agency or any component thereof; or
(b) any employee of the agency in his or her capacity, or (c) any employee of the agency in his or her official
capacity where the agency has agreed to represent the employee, or (d) the United States government is a
party to litigation or has an interest in such litigation and by careful review, the agency determines that the
records are both relevant and necessary to the litigation and the use of such records is therefore deemed by
the agency to be for a purpose that is compatible with the purpose for which the agency collected the records.
5. Disclosure may be made 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
6. Information may be disclosed to the Office of Management and Budget (OMB) in connection with a
review of private relief legislation (as set forth in OMB Circular No. A-19) at any stage of the legislative
coordination and clearance process described in the Circular.
7. The information may be disclosed to the agency contractors, grantees, experts, consultants, or
volunteers 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 U.S.C. § 552a(m).
8. 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 manpower studies.
9. 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 U.S.C. §§ 2904 and 2906.
10. When a record on its face, or in conjunction with other records, indicates a violation or potential
violation of law, whether civil, or criminal, or regulatory in nature, and whether arising by general statute or
particular program statute, or by regulation, rule, or order, issued pursuant thereto, disclosure may be made to
the appropriate agency, whether Federal, foreign, state, local or tribal, or other public authority responsible for
enforcing, investigating, or prosecuting violations, or charged with enforcing or implementing the stature or
rule, regulation, or order issued pursuant thereto, if the information disclosed is relevant to any enforcement,
regulatory, investigative, or prosecutive responsibility of the receiving entity.