Information Collection Request

Reporting of missing, lost, stolen or counterfeit securities (17 CFR Section 240.17f-1(c); Form X-17F-1A (17 CFR Section 249.100)

ICR 201507-3235-008 · OMB 3235-0037 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form SEC 1666 Form X-17F-1A Form and Instruction Modified Available
Supporting statement DGL REVISED Form X-17-1A.pdf Supporting Statement A Uploaded 2015-11-16 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
34104 Form X-17F-1A Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
12/31/2018 36 Months From Approved 12/31/2015
465,000 0 1,300,000
38,750 0 108,333
0 0 0





Reginfo record details
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table that charts list of burden
IC Title Form No. Form Name
Form X-17F-1A SEC 1666 Form X-17F-1A

table that charts list 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 465,000 1,300,000 0 0 -835,000 0
Annual Time Burden (Hours) 38,750 108,333 0 0 -69,583 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
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