Form N-4 (17 CFR 239.17b) under the Securities Act of 1933 and (17 CFR 274.11c) under the Investment Company Act of 1940, registration statement of separate accounts organized as unit investment trust

ICR 201207-3235-005

OMB: 3235-0318

Federal Form Document

ICR Details
3235-0318 201207-3235-005
Historical Active 200907-3235-005
SEC IM-270-282
Form N-4 (17 CFR 239.17b) under the Securities Act of 1933 and (17 CFR 274.11c) under the Investment Company Act of 1940, registration statement of separate accounts organized as unit investment trust
Extension without change of a currently approved collection   No
Regular
Approved without change 09/12/2012
Retrieve Notice of Action (NOA) 07/23/2012
  Inventory as of this Action Requested Previously Approved
09/30/2015 36 Months From Approved 11/30/2012
1,251 0 1,464
256,835 0 297,224
26,609,241 0 29,428,280

Form N-4 is the form separate accounts organized as unit investment trusts that offer variable annuities use to register under the Investment Company Act of 1940 and to offer their securities under the Securities Act of 1933.

US Code: 15 USC 77e Name of Law: Securities Act of 1933
   US Code: 15 USC 80a-8 Name of Law: Investment Company Act of 1940
  
None

Not associated with rulemaking

  77 FR 27101 05/08/2012
77 FR 41461 07/13/2012
No

  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 1,251 1,464 0 0 -213 0
Annual Time Burden (Hours) 256,835 297,224 0 0 -40,389 0
Annual Cost Burden (Dollars) 26,609,241 29,428,280 0 0 -2,819,039 0
No
No
Currently, the approved total annual time burden for preparing and filing registration statements on Form N-4 is 297,224 hours and the total annual cost burden allocated to Form N 4 is $29,428,280. These burdens were based on the previous estimate of 1,464 total annual responses (104 initial responses + 1,360 post-effective amendments = 1,464 total annual responses). The new estimate of the total annual hour burden is 256,834.75 hours and the new estimate of the total annual cost burden is $26,609,241. These new burdens are based on the new estimated total annual number of responses of 1,251 (124 initial responses + 1,127 post-effective amendments = 1,251 total annual responses). The decrease to the total annual hour burden of 40,389.25 hours and the decrease to the total annual cost burden of $2,819,039 are due to a decrease in estimated responses representing post-effective amendments, offset slightly by an increase in the estimated number of responses representing initial filings.

$0
No
No
No
No
No
Uncollected
Deborah Skeens 202 942-0721

  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
07/23/2012


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