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`Aporoved for use through 11/30/2014. OME 0651-0035
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`This collection of information Is required by 37 CFR 1.31, 1.32 and 1.33, The information |s required to obtain or retain a benefit by the public whichis to file (and by the
`USPTO to process) an application, Confidentiality is governed by 35 U.S.C. 122 and 37 CFR 4.11 and 1.14. This collection is estimated to take 3 minutes to complete,
`including gathering, preparing, and submitting the completed application form to the USPTO, Time will vary depending upon theindividual case. Any comments on
`the amountof 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: Commissionerfor Patents, P.O, Box 1450, Alexandria, VA 22313-1450.
`ifyou need assistance in completing the form, call 1-800-PTO-9199 and select option2.
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