Rule 12d1-3

ICR 201304-3235-019

OMB: 3235-0109

Federal Form Document

Forms and Documents
Document
Name
Status
Supporting Statement A
2013-04-26
IC Document Collections
IC ID
Document
Title
Status
34369
Modified
ICR Details
3235-0109 201304-3235-019
Historical Active 201002-3235-017
SEC CF 270-116
Rule 12d1-3
Extension without change of a currently approved collection   No
Regular
Approved without change 06/26/2013
Retrieve Notice of Action (NOA) 04/26/2013
  Inventory as of this Action Requested Previously Approved
06/30/2016 36 Months From Approved 06/30/2013
688 0 688
344 0 344
0 0 0

Rule 12d1-3 requires a certification that a security has been approved by an exchange for listing and registration pursuant to Section 12(d) of the Securities Exchange Act of 1934 to be filed with the Commission.

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

Not associated with rulemaking

  77 FR 70493 11/26/2012
78 FR 9434 02/08/2013
No

1
IC Title Form No. Form Name
Rule 12d1-3

  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 688 688 0 0 0 0
Annual Time Burden (Hours) 344 344 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$10,000
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.
04/26/2013


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