Information Collection

Disclosure and Retention of Certain Information Relating to Cleared Swaps Customer Collateral

IC 198102 under ICR 201707-3038-004 · OMB 3038-0091.

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Information Collection (IC) Details

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IC Title:	Disclosure and Retention of Certain Information Relating to Cleared Swaps Customer Collateral	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 17 CFR 22.17 17 CFR 22.5(a) 17 CFR 22.12 17 CFR 22.11 17 CFR 22.2(g) 17 CFR 22.16

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 68	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	89,148	89,036	112
Annual IC Time Burden (Hours)	24,820	-11,680	36,500
Annual IC Cost Burden (Dollars)	272,000	270,788	1,212

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