Form F-X

ICR 200701-3235-006

OMB: 3235-0379

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supporting Statement A
2007-01-04
IC Document Collections
IC ID
Document
Title
Status
34949 Modified
ICR Details
3235-0379 200701-3235-006
Historical Active 200310-3235-025
SEC 270-336
Form F-X
Extension without change of a currently approved collection   No
Regular
Approved without change 02/28/2007
Retrieve Notice of Action (NOA) 01/04/2007
  Inventory as of this Action Requested Previously Approved
02/28/2010 36 Months From Approved 02/28/2007
129 0 129
258 0 258
0 0 0

Form F-X is used to appoint an agent for service of process by Canadian issuers registering securities on Form F-7, F-8, F-9 or F-10 or filing periodic reports on Form 40-F under the Exchange Act.

US Code: 15 USC 77s Name of Law: Securities Act of 1933
   US Code: 15 USC 78l,78m,78n,78o(d),78w(a) Name of Law: Securities Exchange Act of 1934
  
None

Not associated with rulemaking

  71 FR 60201 10/12/2006
71 FR 76005 12/19/2006
No

1
IC Title Form No. Form Name
Form F-X SEC-2288 Form F-X

  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 129 129 0 0 0 0
Annual Time Burden (Hours) 258 258 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$200,000
No
No
Uncollected
Uncollected
Uncollected
Uncollected
Elizabeth Murphy 202 551-3430 [email protected]

  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.
01/04/2007


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