Information Collection

Rule 71 [17 CFR 250] Statements to be Filed Pursuant to Section 12(i). Form U-12(I)-A, Form U-12(I)-B

IC 34494 under ICR 200111-3235-007 · OMB 3235-0173.

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Information Collection (IC) Details

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IC Title:	Rule 71 [17 CFR 250] Statements to be Filed Pursuant to Section 12(i). Form U-12(I)-A, Form U-12(I)-B	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	1381				Yes	Yes
Form	979				Yes	Yes

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 250	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	250	250
Annual IC Time Burden (Hours)	167	167
Annual IC Cost Burden (Dollars)	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.