SECURITIES ACT OF 1933, FORM F-12

ICR 199403-3235-015

OMB: 3235-0402

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
159608 Migrated
ICR Details
3235-0402 199403-3235-015
Historical Active 199106-3235-010
SEC
SECURITIES ACT OF 1933, FORM F-12
Extension without change of a currently approved collection   No
Regular
Approved without change 05/13/1994
Retrieve Notice of Action (NOA) 03/25/1994
  Inventory as of this Action Requested Previously Approved
05/31/1997 05/31/1997 06/30/1994
20 0 20
40 0 40
0 0 0

FORM F-12 MAY BE USED FOR REGISTRATIONS UNDER THE SECURITIES ACT FOR SECURITIES TO BE ISSUED IN AN EXCHANGE OFFER. SECURITIES MAY BE REGISTERED ON THIS FROM WHETHER THEY CONSTITUTE THE SOLE CONSIDERATION FOR SUCH EXCHANGE OFFER OR ARE OFFERED IN CONNECTION WITH CASH.

None
None


No

1
IC Title Form No. Form Name
SECURITIES ACT OF 1933, FORM F-12 SEC 2279

  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 20 20 0 0 0 0
Annual Time Burden (Hours) 40 40 0 0 0 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.
03/25/1994


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