Information Collection

Rule 17g-3 Annual audited financial statements to be furnished by

IC 179754 under ICR 200709-3235-007 · OMB 3235-0626.

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IC Title:	Rule 17g-3 Annual audited financial statements to be furnished by	Agency IC Tracking Number:	270-565

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 17 CFR 240.17g-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: 30	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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	30	30
Annual IC Time Burden (Hours)	6,000	6,000
Annual IC Cost Burden (Dollars)	450,000	450,000

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