Rule 12h-1(f)

ICR 200707-3235-008

OMB: 3235-0632

Federal Form Document

Forms and Documents
Document
Name
Status
Supporting Statement A
2007-07-20
IC Document Collections
IC ID
Document
Title
Status
181253
New
ICR Details
3235-0632 200707-3235-008
Historical Inactive
SEC 270-570
Rule 12h-1(f)
New collection (Request for a new OMB Control Number)   No
Regular
Preapproved 11/14/2007
Retrieve Notice of Action (NOA) 07/30/2007
  Inventory as of this Action Requested Previously Approved
11/30/2010 36 Months From Approved
40 0 0
20 0 0
24,000 0 0

Rule 12h-1(f) provides an exemption from the registration requirements of the Securities Exchange Act of 1934 for compensatory employee stock options of issuers that are not required to file periodic reports under the Exchange Act and that have 500 or more option holders and more than $10 million in assets at its most recently ended fiscal year.

US Code: 15 USC 78l(h), 78w, 78mm Name of Law: Securities Exchange Act of 1934
  
None

3235-AJ91 Proposed rulemaking 72 FR 131 07/10/2007

No

1
IC Title Form No. Form Name
Rule 12h-1(f)

  Total Request 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 40 0 0 40 0 0
Annual Time Burden (Hours) 20 0 0 20 0 0
Annual Cost Burden (Dollars) 24,000 0 0 24,000 0 0
Yes
Changing Regulations
No
The purpose of the information collection is to provide holders of compensatory employee stock options in private, non-reporting issuers that are relying on the proposed exemption from Exchange Act registration of the compensatory employee stock options appropriate disclosure and investor protections under the federal securities laws.

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
Amy Starr 202 551-3115 [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.
07/30/2007


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