Information Collection

Report Of Missing, Lost, Stolen Or Counterfeit Securities (17 Cfr Para. 240.17f-1(c)), Form X-17f-1a (17 Cfr Para. 249.100)

IC 158019 under ICR 198811-3235-001 · OMB 3235-0037.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3235-0037 can be found here:

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Information Collection (IC) Details

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IC Title:	REPORT OF MISSING, LOST, STOLEN OR COUNTERFEIT SECURITIES (17 CFR PARA. 240.17F-1(C)), FORM X-17F-1A (17 CFR PARA. 249.100)	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.	Available Electronically?	Can Be Submitted Electronically?
Form	17 CFR	No	No
Form	PARA.	No	No
Form	240.17F-1(C)	No	No
Form	RULE	No	No
Form	17F-1(C)	No	No
Form	FORM NO.	No	No
Form	PARA	No	No
Form	249.100	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 19,000	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	Previously Approved
Annual Number of Responses for this IC	361,000	361,000
Annual IC Time Burden (Hours)	30,083	30,083
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.