Information Collection

Agency Information Collection Activities; Proposed Collection, Comment Request

IC 201522 under ICR 201203-3038-005 · OMB 3038-0093.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3038-0093 can be found here:

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Information Collection (IC) Details

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IC Title:	Agency Information Collection Activities; Proposed Collection, Comment Request	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 17 CFR 40.2, 40.3, 40.4, 40.5, 40.6

Information Collection Instruments:

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

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 70	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 95 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	7,000	7,000
Annual IC Time Burden (Hours)	14,000	14,000
Annual IC Cost Burden (Dollars)	980,000	980,000

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