Any commenls on Ille amount of time you require to complete !his form and/or suggesliOns for reducing this buRlen, should be sent to Ute Chief Information Offlcet, U.S. Patent and Traelemark Office, U.S. Department of Commerce, P.O.
Ant commenta on the amount or time you require to complate this form and/or suggestions for reducing this burden, should be sent to Iha Ctllef !nfotmallon Ofllcer, U.S. Palllnl and Tmdemark Office, U.S. Department of Comman::e, P.O.
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kit ccmmenlll on the Bmounl of lime you reqvlre IO complete lllla form anclto111Ugg88llona for radudng 1h18 buRten, Bllould bit sen1 co Ille C!llef ~ Officer, U.S. Patel'II 1111d TRldemalk Offlce, U.S. Oepattmant of Ccmmen:a, P.O.
S~naw~ek Date s-J,'t./~ot3 Typed or,printed name and title of person signing for assignee (if assigned) Hugh Svendsen, Chief Executive Officer on behalf of Tena Technology, LLC Thlsccltectio.n of information is required by 37 CFR 1.172.