RULE 204-3 (17 CFR 275.204-3)

ICR 198410-3235-031

OMB: 3235-0047

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
158050
Migrated
ICR Details
3235-0047 198410-3235-031
Historical Active 198107-3235-024
SEC
RULE 204-3 (17 CFR 275.204-3)
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 01/03/1985
Retrieve Notice of Action (NOA) 10/18/1984
  Inventory as of this Action Requested Previously Approved
01/31/1986 01/31/1986
56,500 0 0
28,250 0 0
0 0 0

RULE REQUIRES CERTAIN REGISTERED INVESTMENT ADVISERS TO DELIVER OR OFF IN WRITING TO DELIVER TO CLIENTS, A WRITTEN DISCLOSURE STATEMENT CONTAINING SPECIFIED INFOMATION CONCERNING THE BACKGROUND AND BUSINESS PRACTICES OF THE ADVISER. INFORMATION FURNISHED TO INVESTORS IS USED BY INVESTORS TO DETERMINE WHETHER TO INITIALLY RETAIN OR CONTINUE TO RETAIN AN INVESTMENT ADVISER.

None
None


No

1
IC Title Form No. Form Name
RULE 204-3 (17 CFR 275.204-3)

  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 56,500 0 0 0 56,500 0
Annual Time Burden (Hours) 28,250 0 0 0 28,250 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.
10/18/1984


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