Form C

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Information Collection (IC) Details

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IC Title:	Form C	Agency IC Tracking Number:	CF 270-New

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 17 CFR 239.900

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: Business and Industry Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 5,852	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	5,852	5,852
Annual IC Time Burden (Hours)	214,928	214,928
Annual IC Cost Burden (Dollars)	28,500,000	28,500,000

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