Information Collection

Form 10, Registration Statement Pursuant To Section 12(b) (g) Of The Securities Exchange Act Of 1934

IC 158164 under ICR 198108-3235-012 · OMB 3235-0064.

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Information Collection (IC) Details

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IC Title:	FORM 10, REGISTRATION STATEMENT PURSUANT TO SECTION 12(B) (G) OF THE SECURITIES EXCHANGE ACT OF 1934	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SEC 1396				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 120	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	120	120
Annual IC Time Burden (Hours)	15,000	15,000
Annual IC Cost Burden (Dollars)	0	0

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.