Information Collection

Statement Of Changes In Beneficial Ownership Of Securities -- Form 4

IC 159262 under ICR 199408-3235-005 · OMB 3235-0287.

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IC Title:

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES -- FORM 4

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1474				No	No

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 65,704

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	65,704	-3,458	69,162
Annual IC Time Burden (Hours)	32,852	-1,729	34,581
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.