Form F-10 - Registration Statement

Forms and Documents

Document	Type	Status	Availability
Form SEC-2292 Form F-10	Form and Instruction	Modified	Repair queued
Supporting Statement.SecurityRatings.pdf	Supporting Statement A	Uploaded 2011-08-11	Available

IC Document Collections

IC ID	Collection	Type	Status	Form
34954	Form F-10	Form and Instruction	Modified

ICR Details

OMB Control No: 3235-0380	ICR Reference No: 201108-3235-008
Status: Historical Active	Previous ICR Reference No: 200905-3235-003
Agency/Subagency: SEC	Agency Tracking No: CF-270-334
Title: Form F-10 - Registration Statement
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/27/2011
	Date Received in OIRA: 08/11/2011
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2014	36 Months From Approved	06/30/2012
Responses	81	0	75
Time Burden (Hours)	505	0	469
Cost Burden (Dollars)	607,500	0	562,500

---

Abstract: Form F-10 is used by Canadian issuers for registration of securities under the Securities Act of 1933.

---

Authorizing Statute(s): US Code: 15 USC 77f, 77g, 77j, 77s(a) Name of Law: Securities Act of 1933
   US Code: 15 USC 78n, 78w(a) Name of Law: Securities Exchange Act of 1934
  

Citations for New Statutory Requirements: PL: Pub.L. 111 - 203 939A Name of Law: Dodd-Frank Wall Street Reform and Consumer Protection Act

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
3235-AK18	Final or interim final rulemaking	76 FR 46603	08/03/2011

---

Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Form F-10	SEC-2292	Form F-10

---

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	81	75	6	0	0	0
Annual Time Burden (Hours)	505	469	36	0	0	0
Annual Cost Burden (Dollars)	607,500	562,500	45,000	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The amendments in Release No. 33-9245 remove references to credit ratings and replace them with alternate criteria. In addition, the amendments rescind Form F-9. As a result, the collection of information contained in Form F-9 will be eliminated. The issuers who currently file on Form F-9 will file on Form F-10, which will increase the number of respondents for Form F-10. We estimate that the amendments would result in an annual time burden increase of 36 hours and an increase in the cost burden of $45,000 for services of outside professionals.

---

Annual Cost to Federal Government: $50,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Yes

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 08/11/2011

---