Information Collection

Report on Income and Expense, Rule 17a-10 (17 CFR 240.17a-10).

IC 34396 under ICR 201106-3235-003 · OMB 3235-0122.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3235-0122 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form X-17A-5 Report on Income and Expense, Rule 17a-10 (17 CFR 240.17a-10).	Form
X-17A-5 FOCUS Report 17a-10 Forms.PDF www.sec.gov/about/forms	Form

IC Title:

Report on Income and Expense, Rule 17a-10 (17 CFR 240.17a-10).

Agency IC Tracking Number:

240-154

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 17 CFR 240.17a-10

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	X-17A-5	FOCUS Report	17a-10 Forms.PDF	www.sec.gov/about/forms	Yes	No	Printable Only

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 103

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	103	-397	500
Annual IC Time Burden (Hours)	1,236	-4,764	6,000
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
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.