Information Collection

Exchange Act Rule 12d2-2 (17 CFR 240.12d2-2) and Form 25 (17 CFR 249.25): Extension of a currently approved collection

IC 34311 under ICR 200809-3235-003 · OMB 3235-0080.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3235-0080 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SEC1654 (03-06) Exchange Act Rule 12d2-2 (17 CFR 240.12d2-2) and Form 25 (17 CFR 249.25): Extension of a currently approved collection	Form and Instruction
SEC1654 (03-06) Form 25: NOTIFICATION OF REMOVAL FROM LISTING AND/OR REG form25.pdf www.onlineforms.edgarfiling.sec.gov/	Form and Instruction
2008 12d2-2 Supporting Statement.doc Supporting Statement	IC Document

IC Title:

Exchange Act Rule 12d2-2 (17 CFR 240.12d2-2) and Form 25 (17 CFR 249.25): Extension of a currently approved collection

Agency IC Tracking Number:

270-86

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 17 CFR 240.12d2-2 17 CFR 249.25

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	SEC1654 (03-06)	Form 25: NOTIFICATION OF REMOVAL FROM LISTING AND/OR REGISTRATION UNDER SECTION 12(b) OF THE SECURITIES EXCHANGE ACT OF 1934	form25.pdf	https://www.onlineforms.edgarfiling.sec.gov/	Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,365

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,365	660	705
Annual IC Time Burden (Hours)	1,365	660	705
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Supporting Statement	2008 12d2-2 Supporting Statement.doc	09/15/2008

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