Information Collection

Reporting of missing, lost, stolen or counterfeit securities (17 CFR Section 204.17f-1(c); Form X-17F-1A (17 CFR Section 249.100)

IC 34103 under ICR 200006-3235-013 · OMB 3235-0037.

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Documents and Forms

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Information Collection (IC) Details

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IC Title:	Reporting of missing, lost, stolen or counterfeit securities (17 CFR Section 204.17f-1(c); Form X-17F-1A (17 CFR Section 249.100)	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-1666				Yes	Yes

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 23,000	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 90 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,288,000	621,000	667,000
Annual IC Time Burden (Hours)	107,333	51,750	55,583
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.