Information Collection

Rule 12d1-3

IC 34369 under ICR 200701-3235-001 · OMB 3235-0109.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3235-0109 can be found here:

Documents and Forms

Document Name Document Type
Rule 12d1-3supp.06.doc Supporting Statement IC Document
Rule 12d1-360n.06.doc 60 day notice IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Rule 12d1-3	Agency IC Tracking Number:	270-116

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 17 CFR 240.12d1-3

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 688	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	Previously Approved
Annual Number of Responses for this IC	688	688
Annual IC Time Burden (Hours)	344	344
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Supporting Statement	Rule 12d1-3supp.06.doc	01/03/2007
60 day notice	Rule 12d1-360n.06.doc	01/03/2007

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.