Information Collection

Regulation D Rule 506(e) Felons and Other Bad Actors Disclosure Statement (Disclosure B)

IC 207711 under ICR 201403-3235-009 · OMB 3235-0704.

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IC Title:	Regulation D Rule 506(e) Felons and Other Bad Actors Disclosure Statement (Disclosure B)	Agency IC Tracking Number:	CF 270-654

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 17 CFR 230.506(d) 17 CFR 230.506(e)

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: 220	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	Previously Approved
Annual Number of Responses for this IC	220	220
Annual IC Time Burden (Hours)	2,420	2,420
Annual IC Cost Burden (Dollars)	264,000	264,000

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