Form F-80 - Canadian Securities

ICR 201211-3235-021

OMB: 3235-0404

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supporting Statement A
2012-11-20
IC Document Collections
IC ID
Document
Title
Status
35000 Modified
ICR Details
3235-0404 201211-3235-021
Historical Active 200908-3235-003
SEC CF-270-357
Form F-80 - Canadian Securities
Extension without change of a currently approved collection   No
Regular
Approved without change 12/30/2012
Retrieve Notice of Action (NOA) 11/21/2012
  Inventory as of this Action Requested Previously Approved
12/31/2015 36 Months From Approved 12/31/2012
4 0 4
8 0 8
3,200 0 3,200

Form F-80 is used by large publicly traded Canadian foreign private issuers registering securities offered in business combinations and exchange offers.

US Code: 15 USC 78m, 78w(a) Name of Law: Securities Exchange Act of 1934
  
None

Not associated with rulemaking

  77 FR 54620 09/05/2012
77 FR 67843 11/14/2012
No

1
IC Title Form No. Form Name
Form F-80 - Canadian Securities SEC 2282 Form F-80

  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 4 4 0 0 0 0
Annual Time Burden (Hours) 8 8 0 0 0 0
Annual Cost Burden (Dollars) 3,200 3,200 0 0 0 0
No
No

$1,500
No
No
No
No
No
Uncollected
N. Harrison 202 942-2910

  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.
11/21/2012


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