Initial Statement of Beneficial Ownership of Securities -- Form 3

ICR 199810-3235-003

OMB: 3235-0104

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
3235-0104 199810-3235-003
Historical Active 199509-3235-006
SEC
Initial Statement of Beneficial Ownership of Securities -- Form 3
Extension without change of a currently approved collection   No
Regular
Approved without change 12/29/1998
Retrieve Notice of Action (NOA) 10/05/1998
  Inventory as of this Action Requested Previously Approved
02/28/2002 02/28/2002 03/31/1999
7,538 0 7,538
3,769 0 3,769
0 0 0

Form 3 is an initial statement of beneficial ownership of equity securities required to be filed by Officers, Directors, and the ten percent holders of companies registered under section 12 of the Securities and Exchange Act of 1934.

None
None


No

1
IC Title Form No. Form Name
Initial Statement of Beneficial Ownership of Securities -- Form 3 SEC-1472

  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 7,538 7,538 0 0 0 0
Annual Time Burden (Hours) 3,769 3,769 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
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.
10/05/1998


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