Information Collection

Appendix F to Rule 15c3-1, Optional Market and Credit Risk Requirements for OTC derivatives dealers

IC 35249 under ICR 200101-3235-010 · OMB 3235-0496.

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IC Title:	Appendix F to Rule 15c3-1, Optional Market and Credit Risk Requirements for OTC derivatives dealers	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

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 6	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	6	0	6
Annual IC Time Burden (Hours)	6,000	0	6,000
Annual IC Cost Burden (Dollars)	383,000	95,000	288,000

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