Information Collection

Exchange Act Rule 12a-5 (17 CFR 240.12a-5) (Temporary exemption of substituted or additional securities) and Form 26 (17 CFR 249.26)

IC 34306 under ICR 200809-3235-005 · OMB 3235-0079.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SEC 483 Exchange Act Rule 12a-5 (17 CFR 240.12a-5) (Temporary exemption of substituted or additional securities) and Form 26 (17 CFR 249.26)	Form
SEC 483 Form 26: Notification of the Admission to Trading of a S form26.pdf www.sec.gov/about/forms/form26.pdf	Form

IC Title:

Agency IC Tracking Number:

270-85

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 17 CFR 249.26 17 CFR 240.12a-5

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	SEC 483	Form 26: Notification of the Admission to Trading of a Substituted or Additional Class of Security Under Rule 12a-5	form26.pdf	http://www.sec.gov/about/forms/form26.pdf	No		Printable Only

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 11

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1	-39	40
Annual IC Time Burden (Hours)	1	-12	13
Annual IC Cost Burden (Dollars)	1	1	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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