Form F-10

ICR 200905-3235-003

OMB: 3235-0380

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supporting Statement A
2009-05-05
IC Document Collections
IC ID
Document
Title
Status
34954 Modified
ICR Details
3235-0380 200905-3235-003
Historical Active 200604-3235-011
SEC CF-270-334
Form F-10
Extension without change of a currently approved collection   No
Regular
Approved without change 06/16/2009
Retrieve Notice of Action (NOA) 05/06/2009
  Inventory as of this Action Requested Previously Approved
06/30/2012 36 Months From Approved 06/30/2009
75 0 75
469 0 469
562,500 0 422,000

Form F-10 is used by Canadian issuers for registration of securities under the Securities Act of 1933.

US Code: 15 USC 77s Name of Law: Securities Act of 1933
  
None

Not associated with rulemaking

  74 FR 9012 02/27/2009
74 FR 19606 04/30/2009
No

1
IC Title Form No. Form Name
Form F-10 SEC-2292 Form F-10

  Total Approved 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 75 75 0 0 0 0
Annual Time Burden (Hours) 469 469 0 0 0 0
Annual Cost Burden (Dollars) 562,500 422,000 0 0 140,500 0
No
No

$12,000
No
No
Uncollected
Uncollected
No
Uncollected
N. Harrison 202 942-2910

  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.
05/06/2009


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