FORM 3 - INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

ICR 198308-3235-024

OMB: 3235-0104

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
3235-0104 198308-3235-024
Historical Active 198109-3235-011
SEC
FORM 3 - INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
No material or nonsubstantive change to a currently approved collection   No
Emergency 08/16/1983
Approved with change 08/16/1983
Retrieve Notice of Action (NOA) 08/16/1983
  Inventory as of this Action Requested Previously Approved
11/30/1984 11/30/1984 11/30/1984
9,382 0 9,382
22,643 0 23,455
0 0 0

FORM 3 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 3 - INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES 1473

  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 9,382 9,382 0 0 0 0
Annual Time Burden (Hours) 22,643 23,455 0 -812 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes

$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.
08/16/1983


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