OED PRIVACY ACT ADVISORY 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 attached forms PTO-158 and PTO-275. Accordingly, pursuant to the requirements of the Act,
please be advised that (i) the authority for the collection of this data is 35 U.S.C. §§ 1.6 and 31, (ii) furnishing of the
information solicited is voluntary, and (iii) the principal purpose for which the data will be used is to maintain current
information relating to your eligibility and fitness for registration to practice before the United States Patent and
Trademark Office in patent cases. If you do not furnish the requested information, you will not be admitted to the
registration examination or registered to practice before the United States Patent and Trademark Office.
The information provided by you in this form will be subject to the following routine uses:
1.Information may be published by the United States Patent and Trademark Office in the Official Gazette to solicit
information tending to affect your eligibility on moral, ethical, or other grounds for registration pursuant to
37 CFR § 11.7.
2.Disclosure may be made to any Government agency, professional organization, or individual if necessary to obtain
information relevant to an investigation concerning the suitability of an applicant for registration to practice before the
Patent and Trademark Office.
3.Disclosure may be made to a Federal, state, local, foreign, tribal, or other public authority, of the fact that this system of
records contains information relevant to the retention of an employee, retention of a security clearance, the letting of a
contract, or the issuance or retention of a license, grant, or other benefit. The other agency or licensing organization may
then make a request supported by the written consent of the individual for the entire record if it so chooses. No disclosure
will be made unless the information has been determined to be sufficiently reliable to support a referral to another office
within the agency, or to another Federal agency for criminal, administrative, personnel, or regulatory action.
4.To a court or adjudicative body in a proceeding when: (a) the agency or any component thereof; or
(b) any employee of the agency in their capacity, or (c) any employee of the agency in their official capacity where the
agency has agreed to represent the employee, or (d) the United States government is a party to litigation or has an
interest in such litigation and by careful review, the agency determines that the records are both relevant and necessary to
the litigation and the use of such records is therefore deemed by the agency to be for a purpose that is compatible with
the purpose for which the agency collected the records.
5.Disclosure may be made to a member of Congress or to a congressional staff member in response to an inquiry of the
Congressional office made at the written request of the constituent about whom the record is maintained.
6.Information may be disclosed to the Office of Management and Budget (OMB) in connection with a review of private
relief legislation (as set forth in OMB Circular No. A-19) at any stage of the legislative coordination and clearance process
described in the Circular.
7.The information may be disclosed to the agency contractors, grantees, experts, consultants, or volunteers who have
been engaged by the agency to assist in the performance of a service related to this system of records and who have need
to have access to the records in order to perform the activity. Recipients of information shall be required to comply with
the requirements of the Privacy Act of 1974, as amended, pursuant to 5 U.S.C. § 552a(m).
8.The information may be disclosed to the office of Personnel Management (OPM) for personnel research purposes as a
data source for management information, for the production of summary descriptive statistics and analytical studies in
support of the function for which the records are collected and maintained, or for related manpower studies.
9.Records from this system of records may be disclosed to the National Archives and Records Administration or to the
General Services Administration for records management inspections conducted under 44 U.S.C. §§ 2904 and 2906.
10. When a record on its face, or in conjunction with other records, indicates a violation or potential violation of law,
whether civil, or criminal, or regulatory in nature, and whether arising by general statute or particular program statute, or
by regulation, rule, or order, issued pursuant thereto, disclosure may be made to the appropriate agency, whether Federal,
foreign, state, local or tribal, or other public authority responsible for enforcing, investigating, or prosecuting violations, or
charged with enforcing or implementing the stature or rule, regulation, or order issued pursuant thereto, if the information
disclosed is relevant to any enforcement, regulatory, investigative, or prosecutive responsibility of the receiving entity.