Information Collection

Form ABS 15E

IC 201505 under ICR 201203-3235-003 · OMB 3235-0694.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3235-0694 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 15E Form ABS 15E	Form
15E FORM ABS DUE DILIGENCE-15E FORM ABS DUE DILIGENCE-15E.pdf	Form

IC Title:

Form ABS 15E

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 17 CFR 240.17g-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	15E	FORM ABS DUE DILIGENCE-15E	FORM ABS DUE DILIGENCE-15E.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 10

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	Program Change Due to New Statute
Annual Number of Responses for this IC	10	10
Annual IC Time Burden (Hours)	250	250
Annual IC Cost Burden (Dollars)	100,000	100,000

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.