Information Collection

Form 15 Certification and Notice of Termination of Registration Under Section 12(g) of The Securities Exchange Act of 1934....

IC 158744 under ICR 199508-3235-006 · OMB 3235-0167.

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Information Collection (IC) Details

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IC Title:	Form 15 Certification and Notice of Termination of Registration Under Section 12(g) of The Securities Exchange Act of 1934....	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	2069				Yes	Yes

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,096	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 70 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1	1	0
Annual IC Time Burden (Hours)	1,644	0	1,644
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.