Information Collection

Certification Pursuant To Rule 12g-4 Under The 1934 Act Or Notice Pursuant To Rule 15d-6 (form 12g-4/15d-6) Under The

IC 158737 under ICR 198110-3235-026 · OMB 3235-0167.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3235-0167 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	CERTIFICATION PURSUANT TO RULE 12G-4 UNDER THE 1934 ACT OR NOTICE PURSUANT TO RULE 15D-6 (FORM 12G-4/15D-6) UNDER THE	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SEC 1593				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 421	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	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	505	505
Annual IC Time Burden (Hours)	1,263	1,263
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded

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