Information Collection

Rule 15Fb2-1 and Form SBSE-C: Complete and File Certifications

IC 199804 under ICR 201505-3235-011 · OMB 3235-0696.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3235-0696 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Form SBSE-C Rule 15Fb2-1 and Form SBSE-C: Complete and File Certifications	Form and Instruction
Form SBSE-C Form SBSE-C Form SBSE-C FINAL.pdf www.sec.gov	Form and Instruction

IC Title:

Rule 15Fb2-1 and Form SBSE-C: Complete and File Certifications

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 17 CFR 240.15Fb2-1 17 CFR 249.1600c

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Form SBSE-C	Form SBSE-C	Form SBSE-C FINAL.pdf	www.sec.gov	Yes	Yes	Fillable Fileable Signable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 55

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to New Statute
Annual Number of Responses for this IC	55	55
Annual IC Time Burden (Hours)	1,393	1,393
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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