Information Collection

Form 10 Registration Statement under the Securities Exchange Act of 1934

IC 158175 under ICR 199507-3235-023 · OMB 3235-0064.

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Information Collection (IC) Details

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IC Title:	Form 10 Registration Statement under the Securities Exchange Act of 1934	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SEC-1369				Yes	Yes

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 110	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 65 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	110	110	0
Annual IC Time Burden (Hours)	10,340	-550	10,890
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded

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