Information Collection

Derivatives Clearing Organization General Provisions and Core Principles

IC 195608 under ICR 201707-3038-006 · OMB 3038-0081.

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IC Title:	Derivatives Clearing Organization General Provisions and Core Principles	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 17 CFR 39.19 17 CFR 39.20 17 CFR 1

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: 12	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	12	0	12
Annual IC Time Burden (Hours)	960	0	960
Annual IC Cost Burden (Dollars)	0	-97,000	97,000

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