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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
Title	Document	Date Uploaded
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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.