Form N-6 (17 CFR 239.17c) under the Securities Act of 1933 and (17 CFR 274.11d) under the Investment Company Act of 1940, Registration Statement of Separate Accounts Organized as Unit Investment Trust

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3235-0503 can be found here:

Documents and Forms

Document Name Document Type
Form SEC 2567 Form N-6 (17 CFR 239.17c) under the Securities Act of 1933 and (17 CFR 274.11d) under the Investment Company Act of 1940, Registration Statement of Separate Accounts Organized as Unit Investment Trust Form and Instruction
SEC 2567 Form N-6 formn-6.pdf www.sec.gov/about/forms/formn-6.pdf Form and Instruction
EDGAR PIA_Redacted.pdf EDGAR PIA IC Document
secsorn1.pdf SEC SORN 1 IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Form N-6 (17 CFR 239.17c) under the Securities Act of 1933 and (17 CFR 274.11d) under the Investment Company Act of 1940, Registration Statement of Separate Accounts Organized as Unit Investment Trust	Agency IC Tracking Number:	270-446

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 17 CFR 274.11d 17 CFR 239.17

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	SEC 2567	Form N-6	formn-6.pdf	http://www.sec.gov/about/forms/formn-6.pdf	Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title: Registration Statements Filed Pursuant to Provisions of the Securities Act of 1933, Securities Exchange Act of 1934, Public Utility Holding Company Act of 1935, and Investment Company Act of 1940--SEC	FR Citation: 41 FR 41550

Number of Respondents: 472	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	472	36	436
Annual IC Time Burden (Hours)	85,269	50,920	34,349
Annual IC Cost Burden (Dollars)	5,316,892	1,496,445	3,820,447

Documents for IC

Title	Document	Date Uploaded
EDGAR PIA	EDGAR PIA_Redacted.pdf	09/08/2015
SEC SORN 1	secsorn1.pdf	09/08/2015

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