Form D-Notice of sales filed by issuers of securities under Regulation D.

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form SEC1972 Form D -Notice of Exempt Offering of Securities	Form and Instruction	Modified	Available
Final Supporting Statement for Final Amendments to Rule 504 (11.28.2016).pdf	Supporting Statement A	Uploaded 2016-12-06	Available
secsorn6.pdf	Supplementary Document	Uploaded 2016-12-02	Available
Electronic Data Gathering Analysis and Retrieval System (EDGAR). January 2016.pdf	Supplementary Document	Uploaded 2016-12-02	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
34297	Form D-Notice of Exempt Offering of Securities	Form and Instruction	Modified	Form D -Notice of Exempt Offering of Securities

ICR Details

OMB Control No: 3235-0076	ICR Reference No: 201612-3235-001
Status: Historical Active	Previous ICR Reference No: 201605-3235-010
Agency/Subagency: SEC	Agency Tracking No: CF-270-072
Title: Form D-Notice of sales filed by issuers of securities under Regulation D.
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/02/2017
Retrieve Notice of Action (NOA)	Date Received in OIRA: 12/20/2016
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2020	36 Months From Approved	11/30/2019
Responses	26,000	0	21,686
Time Burden (Hours)	26,000	0	21,686
Cost Burden (Dollars)	31,200,000	0	26,023,200

---

Abstract: Form D is a notice of sales filed by issuers making an offering of securities in reliance on an exemption under Regulation D or Section 4(a)(5) of the Securities Act of 1933.

---

Authorizing Statute(s): US Code: 15 USC 78l, 78m, 78o, 78w(a), 78mm Name of Law: Securities Exchange Act of 1934
   US Code: 15 USC 80a-37(a) Name of Law: Investment Company Act of 1940
   US Code: 15 USC 80b-11(a) Name of Law: Investment Advisers Act of 1940
   US Code: 15 USC 77c(b)(1), 77s, 77z-3 Name of Law: Securities Act of 1933
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
3235-AL80	Final or interim final rulemaking	81 FR 83494	11/21/2016

---

Federal Register Notices & Comments

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 D-Notice of Exempt Offering of Securities	SEC1972	Form D -Notice of Exempt Offering of Securities

---

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	26,000	21,686	0	4,314	0	0
Annual Time Burden (Hours)	26,000	21,686	0	4,314	0	0
Annual Cost Burden (Dollars)	31,200,000	26,023,200	0	5,176,800	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Changing Regulations

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

Burden Reduction Due to:

Short Statement: The change in burden for Form D corresponds to an estimated 20% increase in the number of Form D filings relying on Rule 504, or approximately 100 filings, under the adopted amendment to Rule 504. This would result in an increase in burden hours of 4,314 and an increase in cost burden of $5,176,800.

---

Annual Cost to Federal Government: $150,000

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

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? 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: 12/20/2016

---