FORM 4 - STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES

ICR 198211-3235-012

OMB: 3235-0287

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
3235-0287 198211-3235-012
Historical Active
SEC
FORM 4 - STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 02/09/1983
Retrieve Notice of Action (NOA) 11/22/1982
  Inventory as of this Action Requested Previously Approved
02/28/1986 02/28/1986
74,417 0 0
186,042 0 0
0 0 0

FORM 4 IS REQUIRED BY THE THREE STATUTES IN ORDER TO PROVIDE INFORMATI TO ISSUERS AND THEIR STOCKHOLDERS WITH RESPECT TO TRANSACTIONS IN THE ISSUER'S SECURITIES BY OFFICERS, DIRECTORS AND TEN PERCENT SHAREHOLDER WHICH MAY BE VIOLATIVE OF THE INSIDER TRADING REGULATIONS SET FORTH IN THOSE STATUTES.

None
None


No

1
IC Title Form No. Form Name
FORM 4 - STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES 1474

  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 74,417 0 0 0 74,417 0
Annual Time Burden (Hours) 186,042 0 0 0 186,042 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.
11/22/1982


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