Information Collection

Form 15

IC 34486 under ICR 201412-3235-006 · OMB 3235-0167.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3235-0167 can be found here:

Documents and Forms

Document Name Document Type
Form SEC-2069 Form 15 Form and Instruction
SEC-2069 Form 15 form15.12-31-2014.pdf www.sec.gov/about/forms/form15.pdf Form and Instruction
EDGAR PIA_Redacted.pdf PIA Redacted IC Document
secsorn6.pdf SECSORN6 IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Form 15	Agency IC Tracking Number:	CF 270-170

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 17 CFR 249.323

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	SEC-2069	Form 15	form15.12-31-2014.pdf	http://www.sec.gov/about/forms/form15.pdf	Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title: (SEC 6) Periodic Reports filed under the Securities Act of 1933, Securities Exchange Act of 1934, Public Utility Holding Company Act of 1935, and Investment Company Act of 1940 and Investment Adviser	FR Citation: 41 FR 41550

Number of Respondents: 811	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	811	-1,438	2,249
Annual IC Time Burden (Hours)	1,217	-2,157	3,374
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
PIA Redacted	EDGAR PIA_Redacted.pdf	12/17/2014
SECSORN6	secsorn6.pdf	12/17/2014

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