REGISTRATION STATEMENT PURSUANT TO SECTION 12(B) OR (G) OF THE SECURITIES EXCHANGE ACT OF 1934 -- FORM 10

ICR 199211-3235-004

OMB: 3235-0064

Federal Form Document

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ICR Details
3235-0064 199211-3235-004
Historical Active 199210-3235-004
SEC
REGISTRATION STATEMENT PURSUANT TO SECTION 12(B) OR (G) OF THE SECURITIES EXCHANGE ACT OF 1934 -- FORM 10
Revision of a currently approved collection   No
Regular
Approved without change 01/15/1993
Retrieve Notice of Action (NOA) 11/06/1992
  Inventory as of this Action Requested Previously Approved
10/31/1995 10/31/1995 03/31/1995
110 0 110
12,980 0 12,430
0 0 0

FORM 10 IS USED FOR REGISTRATION PURSUANT TO SECTION 12(B) OR (G) OF T SECURITIES EXCHANGE ACT OF 1934 FOR CLASSES OF SECURITIES OF ISSUERS F WHICH NO OTHER FORM IS PRESCRIBED. IT PROVIDES DISCLOSURE NECESSARY TO INVESTORS IN THE SECURITIES MARKET ABOUT THE ISSUER.

None
None


No

1
IC Title Form No. Form Name
REGISTRATION STATEMENT PURSUANT TO SECTION 12(B) OR (G) OF THE SECURITIES EXCHANGE ACT OF 1934 -- FORM 10 SEC 1396

  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 110 110 0 0 0 0
Annual Time Burden (Hours) 12,980 12,430 0 550 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
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.
11/06/1992


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