Form-8-A

ICR 201504-3235-012

OMB: 3235-0056

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supporting Statement A
2015-05-05
Supplementary Document
2015-04-28
Supplementary Document
2015-04-28
IC Document Collections
IC ID
Document
Title
Status
34143 Modified
ICR Details
3235-0056 201504-3235-012
Historical Active 201409-3235-020
SEC CF 270-054
Form-8-A
Revision of a currently approved collection   No
Emergency 10/31/2015
Approved without change 06/18/2015
Retrieve Notice of Action (NOA) 05/07/2015
  Inventory as of this Action Requested Previously Approved
12/31/2015 6 Months From Approved 11/30/2017
951 0 946
2,853 0 2,838
0 0 0

Form 8-A is a registration statement for certain classes of securities pursuant to Sections 12(b) and 12(g) of the Securities Exchange Act of 1934.
In response to public comment and to simplify Exchange Act registration in connection with Regulation A offerings, the adopted rules also amend Form 8-A to allow Regulation A issuers to use the form.

US Code: 15 USC 78l, 78o, 78w(a), 78mm Name of Law: Securities Exchange Act of 1934
   US Code: 15 USC 77ddd Name of Law: Trust Indenture Act of 1939
   US Code: 15 USC 77c(b), 77s, 77z-3 Name of Law: Securities Act of 1933
  
PL: Pub.L. 112 - 106 401 Name of Law: Jumpstart Our Business Startups Act

3235-AL39 Final or interim final rulemaking 80 FR 21806 04/20/2015

No

1
IC Title Form No. Form Name
Form-8-A SEC 1922 Form 8-A

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 951 946 5 0 0 0
Annual Time Burden (Hours) 2,853 2,838 15 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
Form 8 A is used to register a class of securities under Section 12 of the Exchange Act. The adopted amendments add language to Form 8-A that allows the form to be used in certain circumstances by Regulation A issuers. Although we do not believe that the amendments result in a change to the existing paperwork burden per response, the estimated 5 issuers relying on amended Regulation A and filing a Form 8-A annually will increase the current paperwork burden under Form 8 A from 2,838 hours to 2,853 hours, an increase of 15 hours.

$100,000
No
No
No
No
No
Uncollected
Shehzad Niazi 202 551-3121

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
05/07/2015


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