Non-index Filings

Hart-Scott-Rodino (Premerger notification) Rules and Report Form

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3084-0005 can be found here:

Documents and Forms

Document Name Document Type
Form C-4 Non-index Filings Form
C-4 Notification and Report Form for Certain Mergers and Acq Notification and Report Form for Certain Mergers and Acquisitions.pdf www.hsr.gov/ Form

Information Collection (IC) Details

IC Title:	Non-index Filings	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 16 CFR 801 16 CFR 802 16 CFR 803

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	C-4	Notification and Report Form for Certain Mergers and Acquisitions	Notification and Report Form for Certain Mergers and Acquisitions.pdf	https://www.hsr.gov/	Yes	Yes	Fillable Fileable Signable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 420	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	420	-3,546	3,966
Annual IC Time Burden (Hours)	16,380	-136,311	152,691
Annual IC Cost Burden (Dollars)	0	0	0

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.