Information Collection

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

IC 179754 under ICR 200902-3235-005 · 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: Modified

Obligation to Respond: Mandatory

CFR Citation: 17 CFR 240.17g-3

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

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

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

FR Citation: 74 FR 6456

Number of Respondents: 30

Number of Respondents for Small Entity: 20

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

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	30	0	30
Annual IC Time Burden (Hours)	7,000	1,000	6,000
Annual IC Cost Burden (Dollars)	450,000	0	450,000

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