PTO/SB/06 (09-11)
`Approved for use through 1/31/2014. OMB 0651-0032
`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 unlessit displays a valid OMB control number.
`Application or Docket Number
`Filing Date
`
`APPLICATION ASFILED
`
`-
`
`PART I
`
`ENTITY:
`
`[M}LARGE C)SMALL CJ MICRO
`
`Column) (Column
`NUMBER FILED
`NUMBER EXTRA
`L_] BASIC FEE
`37 CFR 1.16(a),
`
`(b), or (c
`(m
`(i), or
`37 CFR 1.16(k),
`L EXAMINATION FEE
`(p), or
`37 CFR 1.16(0),
`TOTAL CLAIMS
`
`(q
`
`INDEPENDENT CLAIMS
`(37 GFR 1.16(h))
`
`N/A
`
`.
`
`.
`minus 3
`
`=
`
`FEE ($)
`
`||
`
`RATE (8)
`N/A
`
`N/A
`
`<>
`=
`
`$100
`
`=
`
`$480
`
`x
`
`x
`
`SIZE FEE (37
`
`(JAPPLICATION
`CFR 1.16(s))
`
`If the specification and drawings exceed 100 sheets
`of paper, the application size fee due is $310 ($155
`for small entity) for each additional 50 sheets or
`fraction thereof. See 35 U.S.C. 41(a)(1)(G) and 37
`CFR 1.16(s).
`MULTIPLE DEPENDENTCLAIM PRESENT(37 CFR 1.16(j)}
`([]
`If the difference in column 1
`is less than zero, enter "0" in column 2.
`
`*
`
`APPLICATION AS AMENDED - PARTIl
`
`08/17/2021
`
`(Column3)
`
`PRESENT EXTRA
`
`RATE ($)
`
`ADDITIONALFEE ($}
`
`Cott) Column
`CLAIMS
`HIGHEST
`NUMBER
`REMAINING
`arren
`PREVIOUSLY
`AMENDMENT
`PAID FOR
`
`ZW
`
`i=az
`
`=w
`
`|e s00-ff
`200
`reno11 [mis
`ingependent
`[*2 [mimsf3=O480-fl
`(_} Application Size Fee (37 CFR 1.16(s))
`aeee
`(_] FIRST PRESENTATION OF MULTIPLE DEPENDENT CLAIM (37 CFR
`1.16(j))
`
`|
`(Cota3)
`
`Toracappiree
`
`PRESENT EXTRA
`
`RATE ($)
`
`ADDITIONALFEE ($)
`
`
`
`i=< A
`
`TotemCot
`CLAIMS
`HIGHEST
`NUMBER
`REMAINING
`AFTER
`PREVIOUSLY
`AMENDMENT
`PAID FOR
`
`.
`
`Total
`.
`renirsmesO-
`Ind
`dent
`independentfetwistsO-
`CATON OF MULTIPLEDEPENDENT CAM G7 CFR
`L_} Application Size Fee (37 CFR 1.16(s))
`aeee
`ee
`Totacappiree
`|
`SLIE
`/DIANIECE M JACOBS/
`
`MENDMENT
`
`1.16(j
`
`*
`**
`*“*
`
`in column 1
`
`in column 2, write "0" in column 3.
`If the entry
`is less than the entry
`iously
`Paid For" IN THIS SPACE is less than 20, enter "20".
`If the "Hi
`If the "Highest Number Previously Paid For" IN THIS SPACE is less than 3, enter "3".
`The "Highest Number Previously Paid For" (Total or Independent) is the highest number found in the appropriate box in column 1.
`This collection of information is required by 37 CFR 1.16. The information is 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 1.14. 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 FORMSTOTHIS
`ADDRESS. SEND TO: Commissioner for Patents, P.O. Box 1450, Alexandria, VA 22313-1450.
`/fyou need assistance in completing the form, call 1-800-PTO-9199 and select option 2.
`
`