Information Collection

Form 1-SA

IC 212628 under ICR 201505-3235-006 · OMB 3235-0721.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3235-0721 can be found here:

Documents and Forms

Document Name Document Type
Forms REG A+.pdf New Forms Included in Final Rule IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Form 1-SA	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 17 CFR 239.92

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: (SEC 1) Registration Statements Filed Pursuant to Provisions of the Securities Act of 1933, Securities Exchange Act of 1934, and Investment C Act of 1940	FR Citation: 41 FR 41550

Number of Respondents: 188	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	Program Change Due to New Statute
Annual Number of Responses for this IC	188	188
Annual IC Time Burden (Hours)	29,952	29,952
Annual IC Cost Burden (Dollars)	2,113,872	2,113,872

Documents for IC

Title	Document	Date Uploaded
New Forms Included in Final Rule	Forms REG A+.pdf	05/06/2015

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