Form 15F

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form SEC 2935 Form 15F	Form and Instruction	Modified	Available
January 2016 EDGAR PIA.pdf	Supplementary Document	Uploaded 2017-06-02	Available
Form 15F Supporting Statement. 06-02-2017.pdf	Supporting Statement A	Uploaded 2017-06-02	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
35485	Form 15F	Form and Instruction	Modified

ICR Details

OMB Control No: 3235-0621	ICR Reference No: 201611-3235-057
Status: Historical Active	Previous ICR Reference No: 201310-3235-013
Agency/Subagency: SEC	Agency Tracking No: CF 270-559
Title: Form 15F
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 08/23/2017
	Date Received in OIRA: 12/06/2016
Terms of Clearance: Supporting statement updated.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2020	36 Months From Approved	08/31/2017
Responses	30	0	100
Time Burden (Hours)	225	0	750
Cost Burden (Dollars)	270,000	0	900,000

---

Abstract: Form 15F is filed by a foreign private issuer to terminate its Exchange Act reporting obligations pursuant to Exchange Act Rule 12h-6.

---

Authorizing Statute(s): US Code: 15 USC 78c(b), 78l, 78m, 78w, 78mm Name of Law: Securities Exchange Act of 1934
   US Code: 15 USC 77f, 77g, 77j, 77s Name of Law: Securities Act of 1933
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 59260	08/29/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 87637	12/05/2016
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Form 15F	SEC 2935	Form 15F

---

ICR Summary of Burden

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	30	100	0	0	-70	0
Annual Time Burden (Hours)	225	750	0	0	-525	0
Annual Cost Burden (Dollars)	270,000	900,000	0	0	-630,000	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The decrease of 525 burden hours and the decrease of ($630,000) in cost burden are due to an adjustment in the number of Form 15Fs filed with the Commission. There were 70 fewer Forms 15Fs filed than previously estimated by the Commission.

---

Annual Cost to Federal Government: $6,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 12/06/2016

---