Information Collection

Rule 0-4 under the Investment Advisers Act of 1940, General Requirements of Papers and Applications

IC 181260 under ICR 201306-3235-005 · OMB 3235-0633.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3235-0633 can be found here:

Documents and Forms

Document Name Document Type
17f-4 Supporting Statement 2012 3 (1-23-2013).doc supporting statement IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Rule 0-4 under the Investment Advisers Act of 1940, General Requirements of Papers and Applications	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 17 CFR 274.0-4

Information Collection Instruments:

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

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 16	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	16	0	16
Annual IC Time Burden (Hours)	1	0	1
Annual IC Cost Burden (Dollars)	702,000	257,400	444,600

Documents for IC

Title	Document	Date Uploaded
supporting statement	17f-4 Supporting Statement 2012 3 (1-23-2013).doc	06/13/2013

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