PREMERGER NOTIFICATION REPORT FORM

ICR 198107-3084-001

OMB: 3084-0005

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
152966
Migrated
ICR Details
3084-0005 198107-3084-001
Historical Active 198104-3084-005
FTC
PREMERGER NOTIFICATION REPORT FORM
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 07/08/1981
Retrieve Notice of Action (NOA) 07/08/1981
  Inventory as of this Action Requested Previously Approved
12/31/1981 12/31/1981
1,000 0 0
50,000 0 0
0 0 0

STATUTORY REPORT REQUIRED FROM PERSONS AND CORPORATIONS OF SPECIFIED SIZE INVOLVED IN PROPOSED ACQUISITIONS, MERGERS OR TENDER OFFERS SATISFYING SPECIFIED ECONOMIC AND FINANCIAL CRITERIA, FOR USE IN ANTITRUST ENFORCEMENT.

None
None


No

1
IC Title Form No. Form Name
PREMERGER NOTIFICATION REPORT FORM

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 1,000 0 0 0 1,000 0
Annual Time Burden (Hours) 50,000 0 0 0 50,000 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
07/08/1981


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