Form-8-A

Forms and Documents

Document	Type	Status	Availability
Form SEC 1922 Form-8-A	Form and Instruction	Modified	Available
PRA supporting statement.5-5-2015.pdf	Supporting Statement A	Uploaded 2015-05-05	Repair queued
EDGAR PIA_Redacted.pdf	Supplementary Document	Uploaded 2015-04-28	Available
secsorn1.pdf	Supplementary Document	Uploaded 2015-04-28	Repair queued

IC Document Collections

IC ID	Collection	Type	Status	Form
34143	Form-8-A	Form and Instruction	Modified

ICR Details

OMB Control No: 3235-0056	ICR Reference No: 201504-3235-012
Status: Historical Active	Previous ICR Reference No: 201409-3235-020
Agency/Subagency: SEC	Agency Tracking No: CF 270-054
Title: Form-8-A
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 10/31/2015
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/18/2015
	Date Received in OIRA: 05/07/2015
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2015	6 Months From Approved	11/30/2017
Responses	951	0	946
Time Burden (Hours)	2,853	0	2,838
Cost Burden (Dollars)	0	0	0

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Abstract: 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.

Emergency Justfication: 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.

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Authorizing Statute(s): 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
  

Citations for New Statutory Requirements: PL: Pub.L. 112 - 106 401 Name of Law: Jumpstart Our Business Startups Act

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
3235-AL39	Final or interim final rulemaking	80 FR 21806	04/20/2015

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

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

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ICR Summary of Burden

	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

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: 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.

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Annual Cost to Federal Government: $100,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 05/07/2015

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