Information Collection

Exchange Act Form 10

IC 34221 under ICR 201809-3235-009 · OMB 3235-0064.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3235-0064 can be found here:

Documents and Forms

Document Name Document Type
Form SEC 1396 Exchange Act Form 10 Form and Instruction
SEC 1396 Form 10 - General Form For Registration Of Securities Form 10.sec1396.07-31-2021.pdf www.sec.gov/files/form10.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Exchange Act Form 10	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 17 CFR 249.210

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	SEC 1396	Form 10 - General Form For Registration Of Securities	Form 10.sec1396.07-31-2021.pdf	https://www.sec.gov/files/form10.pdf	Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 216	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	216	0	216
Annual IC Time Burden (Hours)	11,774	-9	11,783
Annual IC Cost Burden (Dollars)	14,128,888	-11,163	14,140,051

Documents for IC

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.