Information Collection

Form MA-NR: Designation of U.S. Agent for Service of Process

IC 196938 under ICR 201402-3235-004 · OMB 3235-0681.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3235-0681 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Form MA-NR Form MA-NR: Designation of U.S. Agent for Service of Process	Form
34-63576-ma-instructions.pdf sec.gov/rules/proposed/2010/34-63576-ma-instructions.pdf	Instruction
Form MA-NR Form MA-NR 34-63576-ma-nr.pdf sec.gov/rules/proposed/2010/34-63576-ma-nr.pdf	Form

IC Title:

Form MA-NR: Designation of U.S. Agent for Service of Process

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 17 CFR 240.15Ba1-6

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	Form MA-NR	Form MA-NR	34-63576-ma-nr.pdf	http://sec.gov/rules/proposed/2010/34-63576-ma-nr.pdf	Yes	Yes	Fillable Fileable Signable
Instruction			34-63576-ma-instructions.pdf	http://sec.gov/rules/proposed/2010/34-63576-ma-instructions.pdf	Yes	No	Printable Only

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2

Number of Respondents for Small Entity: 1

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to New Statute	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2	22	-20
Annual IC Time Burden (Hours)	21	11	10
Annual IC Cost Burden (Dollars)	1,200	1,500	-300

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.