Information Collection

Monthly Reports

IC 205430 under ICR 201701-3235-012 · OMB 3235-0123.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3235-0123 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SEC 1695 Monthly Reports	Form
formx-17a-5_22 inst.pdf www.sec.gov/files/formx-17a-5_22.pdf	Instruction
SEC 1695 Focus Report Part II formx-17a-5_2.pdf www.sec.gov/files/formx-17a-5_2.pdf	Form

IC Title:

Monthly Reports

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 17 CFR 240.17a-5

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SEC 1695	Focus Report Part II	formx-17a-5_2.pdf	https://www.sec.gov/files/formx-17a-5_2.pdf	Yes	Yes	Fillable Fileable
Instruction			formx-17a-5_22 inst.pdf	https://www.sec.gov/files/formx-17a-5_22.pdf	Yes	Yes	Printable Only

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 482

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 90 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	5,784	-372	6,156
Annual IC Time Burden (Hours)	69,408	-4,464	73,872
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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