Form N-3 (17 CFR 239.17a) under the Securities Act of 1933 and (17 CFR 274.11b) under the Investment Company Act of 1940, registration statement of separate accounts organized as

ICR 200310-3235-006

OMB: 3235-0316

Federal Form Document

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Name
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ICR Details
3235-0316 200310-3235-006
Historical Active 200209-3235-013
SEC
Form N-3 (17 CFR 239.17a) under the Securities Act of 1933 and (17 CFR 274.11b) under the Investment Company Act of 1940, registration statement of separate accounts organized as
Revision of a currently approved collection   No
Regular
Approved without change 12/29/2003
Retrieve Notice of Action (NOA) 10/07/2003
  Inventory as of this Action Requested Previously Approved
12/31/2006 12/31/2006 11/30/2005
41 0 60
33,934 0 36,096
1,380,000 0 1,800,000

Form N-3 is the form separate accounts organized as management investment companies use to register under the Investment Company Act of 1940 and to offer their securities under the Securities Act of 1933.

None
None


No

  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 41 60 0 -1 -18 0
Annual Time Burden (Hours) 33,934 36,096 0 -91 -2,071 0
Annual Cost Burden (Dollars) 1,380,000 1,800,000 0 0 -420,000 0
No
Yes

$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.
10/07/2003


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