Information Collection

Form N-4 Registration Statement Under The Securities Act Of 1933 & Investment Company Act Of 1940 For Insurance Company Separate Accounts Issuing Variable Annuity Contracts

IC 159363 under ICR 199007-3235-008 · OMB 3235-0318.

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Information Collection (IC) Details

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IC Title:	FORM N-4 REGISTRATION STATEMENT UNDER THE SECURITIES ACT OF 1933 & INVESTMENT COMPANY ACT OF 1940 FOR INSURANCE COMPANY SEPARATE ACCOUNTS ISSUING VARIABLE ANNUITY CONTRACTS	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.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SEC 2125				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 183	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	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	183	0	183
Annual IC Time Burden (Hours)	25,492	55	25,437
Annual IC Cost Burden (Dollars)	0	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.