Information Collection

Form N-6 (17 CFR 239.17c) under the Securities Act of 1933 and (17 CFR 274.11d) under the Investment Company Act of 1940, Registration Statement of Separate Accounts Organized as Unit Investment Trust

IC 35269 under ICR 201811-3235-012 · OMB 3235-0503.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3235-0503 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SEC 2567 Form N-6 (17 CFR 239.17c) under the Securities Act of 1933 and (17 CFR 274.11d) under the Investment Company Act of 1940, Registration Statement of Separate Accounts Organized as Unit Investment Trust	Form and Instruction
SEC 2567 Form N-6 formn-6.pdf www.sec.gov/about/forms/formn-6.pdf	Form and Instruction
EDGAR PIA 2016.pdf EDGAR PIA	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Form N-6 (17 CFR 239.17c) under the Securities Act of 1933 and (17 CFR 274.11d) under the Investment Company Act of 1940, Registration Statement of Separate Accounts Organized as Unit Investment Trust

Agency IC Tracking Number:

270-446

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 17 CFR 274.11d 17 CFR 239.17

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	SEC 2567	Form N-6	formn-6.pdf	http://www.sec.gov/about/forms/formn-6.pdf	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 388

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	388	-84	472
Annual IC Time Burden (Hours)	31,812	-53,457	85,269
Annual IC Cost Burden (Dollars)	3,816,692	-1,500,200	5,316,892

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
EDGAR PIA	EDGAR PIA 2016.pdf	02/12/2019

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