Information Collection

Rule 15Ba1-4: Amendments to Application for Registration and Self-Certification

IC 196936 under ICR 201103-3235-015 · OMB 3235-0681.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3235-0681 can be found here:

Documents and Forms

Document Name Document Type
Form Form MA Rule 15Ba1-4: Amendments to Application for Registration and Self-Certification Form
34-63576-ma-instructions.pdf sec.gov/rules/proposed/2010/34-63576-ma-instructions.pdf Instruction
Form MA Form MA 34-63576-ma.pdf sec.gov/rules/proposed/2010/34-63576-ma.pdf Form
Form MA-I Form MA-I 34-63576-ma-i.pdf sec.gov/rules/proposed/2010/34-63576-ma-i.pdf Form
Form MA Execution Form MA Execution Page 34-63576-ma-execution.pdf sec.gov/rules/proposed/2010/34-63576-ma-execution.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Rule 15Ba1-4: Amendments to Application for Registration and Self-Certification	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 17 CFR 240.15Ba1-4

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	Form MA	Form MA	34-63576-ma.pdf	http://sec.gov/rules/proposed/2010/34-63576-ma.pdf	Yes	Yes	Fillable Fileable Signable
Form	Form MA-I	Form MA-I	34-63576-ma-i.pdf	http://sec.gov/rules/proposed/2010/34-63576-ma-i.pdf	Yes	Yes	Fillable Fileable Signable
Instruction			34-63576-ma-instructions.pdf	http://sec.gov/rules/proposed/2010/34-63576-ma-instructions.pdf	Yes	No	Printable Only
Form	Form MA Execution Page	Form MA Execution Page	34-63576-ma-execution.pdf	http://sec.gov/rules/proposed/2010/34-63576-ma-execution.pdf	Yes	Yes	Fillable Fileable Signable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 22,800	Number of Respondents for Small Entity: 170

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

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to New Statute
Annual Number of Responses for this IC	22,800	22,800
Annual IC Time Burden (Hours)	23,700	23,700
Annual IC Cost Burden (Dollars)	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.