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Summary

Approved for use through 02/28/2009. OMB 0651-0043

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 unless it displays a valid OMB control number.

Please create a User ID, a Password and enter your user information in the form below.

All items denoted by * are required.

User ID *
(must be 8-32 characters with no spaces; not case-sensitive)

Password *
(must be 8 to 32 characters with no spaces; case-sensitive)

Re-enter Password *

First Name *

Last Name *

Company or Organization Name

E-Mail Address *

Re-enter E-Mail Address *

Phone Number *
(XXX)XXX-XXXX

Profile Type

Standard Profile

Report Only Profile

Standard Profile

Standard Profiles may have up to 5 payment account types, view and download reports and make payments using your Financial Profile in future releases.

Report Only Profile

Report only profiles may have numerous payment account types and view and download reports only.

This collection of information is required by 35 U.S.C. § 41 or 15 U.S.C. § 1113 and 37 CFR 1.23, 1.25, and 2.206-2.208. The information is required in order for the public to establish a Financial Profile through the USPTO web site that will allow the public to manage financial transactions with the USPTO online. The Financial Profile form is estimated to take approximately 6 minutes to complete, including gathering information, preparing, and submitting the completed profile to the USPTO. Time will vary depending upon the individual case. Please send any comments on the amount of time required to complete this form and/or suggestions for reducing this burden to the Chief Information Officer, USPTO, PO Box 1450, Alexandria, VA 22313-1450. DO NOT SEND FEES OR COMPLETED FORMS TO THIS ADDRESS.

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