Information Collection

Implementing the Whistleblower Provisions of Section 23 of the Commodity Exchange Act

IC 195631 under ICR 201203-3038-002 · OMB 3038-0082.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3038-0082 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FORM WB-APP Implementing the Whistleblower Provisions of Section 23 of the Commodity Exchange Act	Form and Instruction
FORM WB-APP WB-APP (Application for Award for Original Information S CFTC_Form_WbAward_Application.pdf	Form and Instruction
3038-0082 Form TC R (Tip, Complaint or Referral) 2012-02-29 Hardcopy Form TCR.pdf	Form and Instruction
3038-0082 Form TCR (Tip, Complaint or Referral) 2012-02-29 Electronic Form TCR.pdf	Form and Instruction
2012-03-01 Justification Statement for Revisions to Form TCR.pdf Justification for Change to Form TCR	IC Document

IC Title:

Implementing the Whistleblower Provisions of Section 23 of the Commodity Exchange Act

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 17 CFR 165

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FORM WB-APP	WB-APP (Application for Award for Original Information Submittted Pursuant to Section 23 of the Commodity Exchange Act	CFTC_Form_WbAward_Application.pdf	Yes	No	Fillable Printable
Form and Instruction	3038-0082	Form TC R (Tip, Complaint or Referral)	2012-02-29 Hardcopy Form TCR.pdf	Yes	No	Printable Only
Form and Instruction	3038-0082	Form TCR (Tip, Complaint or Referral)	2012-02-29 Electronic Form TCR.pdf	Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 160

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 75 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	160	160
Annual IC Time Burden (Hours)	2,000	2,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Justification for Change to Form TCR	2012-03-01 Justification Statement for Revisions to Form TCR.pdf	03/06/2012

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.