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United States Patent and Trademark OfficeInstructions for Completing the Credit Card Payment Form
Paperwork Reduction Act 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 the Credit Card Payment Form (PTO-2038). Accordingly, pursuant to the requirements of the Act,
please be advised that: (1) the authority for the collection of this information is 15 U.S.C. § 1113 or 35 U.S.C. § 41 and37 CFR 1.16-1.28, 1.492, or 2.6-2.7; (2) furnishing of the information solicited is voluntary; and (3) the principal purpose
for which the information is used by the USPTO is to charge the appropriate fee amount to the appropriate credit card
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The information provided by you in this form will be subject to the following routine uses:(1) The information on this form will be treated confidentially to the extent allowed under the Freedomof Information Act (5 U.S.C. § 552) and the Privacy Act (5 U.S.C. § 552(a)). Records from thissystem of records may be disclosed to the Department of Justice to determine whether disclosure ofthese records is required by the Freedom of Information Act.
(2) A record from this system of records may be disclosed, as a routine use, in the course of presenting
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PTO-2038 (0-20)
United States Patent and Trademark Office; U.S. DEPARTMENT OF COMMERCE

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