Information Collection

Rule 12h-1(f)

IC 181253 under ICR 201611-3235-056 · OMB 3235-0632.

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Information Collection (IC) Details

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IC Title:	Rule 12h-1(f)	Agency IC Tracking Number:	CF 270-570

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 17 CFR 240.12h-1(f)

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:	FR Citation:

Number of Respondents: 40	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	40	40
Annual IC Time Burden (Hours)	20	20
Annual IC Cost Burden (Dollars)	24,000	24,000

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