Information Collection

Registration Statement For Insurance Company Separate Accounts Issuing Variable Annuity Contracts, Form N-3

IC 159356 under ICR 199411-3235-017 · OMB 3235-0316.

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Information Collection (IC) Details

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IC Title:	REGISTRATION STATEMENT FOR INSURANCE COMPANY SEPARATE ACCOUNTS ISSUING VARIABLE ANNUITY CONTRACTS, FORM N-3	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 2124				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 53	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	53	0	53
Annual IC Time Burden (Hours)	27,425	53	27,372
Annual IC Cost Burden (Dollars)	0	0	0

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