Information Collection

Rule 15c1-5 (17 CFR 240.15c1-5) Disclosure of Control.

IC 35183 under ICR 201110-3235-021 · OMB 3235-0471.

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Information Collection (IC) Details

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IC Title:	Rule 15c1-5 (17 CFR 240.15c1-5) Disclosure of Control.	Agency IC Tracking Number:	270-422

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 17 CFR 240.15c1-5

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 241	Number of Respondents for Small Entity: 45

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

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	241	-37	278
Annual IC Time Burden (Hours)	2,410	-370	2,780
Annual IC Cost Burden (Dollars)	0	0	0

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