Information Collection

Form S-4 Registration Statement

IC 34841 under ICR 200212-3235-002 · OMB 3235-0324.

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Information Collection (IC) Details

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IC Title:	Form S-4 Registration Statement	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	2077				Yes	Yes

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 631	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	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	631	1	-3,144	3,774
Annual IC Time Burden (Hours)	627,845	1,104	-3,121,785	3,748,526
Annual IC Cost Burden (Dollars)	565,061,000	994,000	-2,809,606,000	3,373,673,000

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.