Form 1-SA

ICR 201806-3235-020

OMB: 3235-0721

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supporting Statement A
2018-06-25
Supplementary Document
2018-06-24
IC Document Collections
IC ID
Document
Title
Status
212628 Modified
ICR Details
3235-0721 201806-3235-020
Historical Active 201505-3235-006
SEC CF 270-661
Form 1-SA
Extension without change of a currently approved collection   No
Regular
Approved without change 10/15/2018
Retrieve Notice of Action (NOA) 06/26/2018
  Inventory as of this Action Requested Previously Approved
10/31/2021 36 Months From Approved 10/31/2018
55 0 188
8,763 0 29,952
618,420 0 2,113,872

Form 1-SA is used to file semiannual reports by Tier 2 issuers under Regulation A, an exemption from registration under the Securities Act of 1933.

US Code: 15 USC 78l, 78o, 78w(a), 78mm Name of Law: Securities Exchange Act of 1934
   US Code: 15 USC 77ddd Name of Law: Trust Indenture Act of 1939
   US Code: 15 USC 77c(b), 77s, 77z-3 Name of Law: Securities Act of 1933
   PL: Pub.L. 112 - 106 401 Name of Law: Jumpstart Our Business Startup Act
  
None

Not associated with rulemaking

  83 FR 18370 04/26/2018
83 FR 29839 06/26/2018
No

1
IC Title Form No. Form Name
Form 1-SA SEC 2914 Form 1-SA

  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 55 188 0 0 -133 0
Annual Time Burden (Hours) 8,763 29,952 0 0 -21,189 0
Annual Cost Burden (Dollars) 618,420 2,113,872 0 0 -1,495,452 0
No
No
The decrease of 21,189 reporting burden hours and the decrease of ($1,495,452) in cost burden is due to an adjustment in number of issuers filing Forms 1-SA with the Commission.

$100,000
No
    No
    No
No
No
No
Uncollected
Felicia Kung 703 551-3430

  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
06/26/2018


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