Information Collection

Form T-4 Application For Exemption

IC 34363 under ICR 200910-3235-008 · OMB 3235-0107.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3235-0107 can be found here:

Documents and Forms

Document Name Document Type
Form SEC-1920 Form T-4 Application For Exemption Form and Instruction
SEC-1920 Form T-4 SEC1920formt-4.pdf www.sec.gov/about/forms/formt-4.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Form T-4 Application For Exemption	Agency IC Tracking Number:	CF 270-124

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 17 CFR 269.4

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	SEC-1920	Form T-4	SEC1920formt-4.pdf	http://www.sec.gov/about/forms/formt-4.pdf	Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	3	3
Annual IC Time Burden (Hours)	3	3
Annual IC Cost Burden (Dollars)	4,800	4,800

Documents for IC

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.