Form F-4 - Registration Statement

Forms and Documents

Document Name	Status
Form SEC 2078 Form F-4 - Registration Statement Form and Instruction	Modified
F-4.SupportingStatement.2017.pdf Supporting Statement A	2017-06-28
January 2016 EDGAR PIA.pdf Supplementary Document	2017-06-27

IC Document Collections

IC ID	Document Title	Status
43005	Form F-4 - Registration Statement Form and Instruction	Modified

ICR Details

OMB Control No: 3235-0325	ICR Reference No: 201706-3235-007
Status: Historical Active	Previous ICR Reference No: 201401-3235-006
Agency/Subagency: SEC	Agency Tracking No: CF 270-288
Title: Form F-4 - Registration Statement
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 without change	Conclusion Date: 10/06/2017
	Date Received in OIRA: 06/29/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2020	36 Months From Approved	10/31/2017
Responses	39	0	68
Time Burden (Hours)	14,206	0	24,769
Cost Burden (Dollars)	17,046,900	0	29,722,800

---

Abstract: Form F-4 is used by foreign private issuers to register securities in business combinations, reorganizations and exchange offers pursuant to the federal securities laws.

---

Authorizing Statute(s): US Code: 15 USC 78m, 78n(a), 78n-1, 78w(a) Name of Law: Securities Exchange Act of 1934
   US Code: 15 USC 78mm Name of Law: Securities Exchange Act of 1934
   US Code: 15 USC 77e, 77f,77g, 77j, 77s(a) Name of Law: Securities Act of 1933
   PL: Pub.L. 111 - 203 951 Name of Law: Dodd-FranK Wall Steet Reform and Consumer Protection Act
  

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:
	82 FR 17711	04/12/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 28711	06/23/2017
Did the Agency receive public comments on this ICR? No

---

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

IC Title	Form No.	Form Name
Form F-4 - Registration Statement	SEC 2078	Form F-4

---

ICR Summary 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	39	68	0	0	-29	0
Annual Time Burden (Hours)	14,206	24,769	0	0	-10,563	0
Annual Cost Burden (Dollars)	17,046,900	29,722,800	0	0	-12,675,900	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 10,563 in the burden hours and decrease of $12,675,900 in the cost burden is due to an adjustment in number of Forms F-4 filed with the Commission.

---

Annual Cost to Federal Government: $60,000

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.     Yes

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]? Yes

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: 06/28/2017

---