Information Collection

Affirmation in Support of Exemption from Affiliation Requirements

IC 191873 under ICR 201001-1902-004 · OMB 1902-0294.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FERC-519C Affirmation in Support of Exemption from Affiliation Requirements	Form and Instruction
FERC-519C Affirmation in Support of Exemption from Affiliation Req Proposed FERC-519C.doc www.ferc.gov/docs-filing/forms.asp	Form and Instruction
Schedule 13G.doc SEC Schedule 13G	IC Document

IC Title:

Agency IC Tracking Number:

FERC-519C

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 18 CFR 33.1

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	FERC-519C	Affirmation in Support of Exemption from Affiliation Requirements	Proposed FERC-519C.doc	http://www.ferc.gov/docs-filing/forms.asp	Yes	Yes	Fillable Printable

Line of Business: Energy

Subfunction: Energy Supply

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 10

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
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	12	12
Annual IC Time Burden (Hours)	82	82
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SEC Schedule 13G	Schedule 13G.doc	01/28/2010

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