Registration Statement under the Securities Act of 1933 and the Investment Company Act of 1940 for Insurance Company Separate Accounts Issuing Variable Annuity Contracts - Form N-4

ICR 199507-3235-006

OMB: 3235-0318

Federal Form Document

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ICR Details
3235-0318 199507-3235-006
Historical Active 199411-3235-016
SEC
Registration Statement under the Securities Act of 1933 and the Investment Company Act of 1940 for Insurance Company Separate Accounts Issuing Variable Annuity Contracts - Form N-4
Revision of a currently approved collection   No
Expedited
Approved without change 08/10/1995
Retrieve Notice of Action (NOA) 07/27/1995
  Inventory as of this Action Requested Previously Approved
08/31/1998 08/31/1998 12/31/1997
288 0 0
40,562 0 40,448
0 0 0

Form N-4 is the registration form for insurance company separate accounts organized as unit investment trusts for registration under the Investment Company Act of 1940 and for registration of securities under the Securities Act of 1933.

None
None


No

  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 288 0 0 288 0 0
Annual Time Burden (Hours) 40,562 40,448 0 114 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.
07/27/1995


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