Form C 30 Day Federal Register Notice

SECURITIES AND EXCHANGE COMMISSION
Submission for OMB Review; Comment Request
Upon Written Request Copies Available From:
Securities and Exchange Commission
Office of FOIA Services
100 F Street, NE
Washington, DC 20549-2736
Extension: Form C
SEC File No. 270-658, OMB Control No. 3235-0716
Notice is hereby given that, pursuant to the Paperwork Reduction Act of 1995 (44 U.S.C.
3501 et seq.), the Securities and Exchange Commission ("Commission") has submitted to the
Office of Management and Budget this request for extension of the previously approved
collection of information discussed below.
Form C (17 CFR 239.900) is used by issuers offering securities in reliance on the
crowdfunding exemption in Section 4(a)(6) (15 U.S.C. 77d(a)(6)) of the Securities Act of 1933
(“Securities Act”) (15 U.S.C. 77a et seq.) Form C will also be used by issuers that have
completed transactions in reliance on Section 4(a)(6) to file annual reports or to provide notice of
the termination of reporting obligations.. The information collected is intended to create a
framework for the filing and disclosure requirements of Title III Section 4A of the Jumpstart Our
Business Startups Act (Pub. L. No. 112-106, 126 Stat. 306) to implement the exemption from
Securities Act registration for offerings made in reliance on Section 4(a)(6). Form C takes
approximately 48.96969 hours per response and is filed by approximately 5,852 respondents.
We estimate that 75% of the 48.96969 hours per response (36.72727 hours) is prepared by the
issuer for a total annual reporting burden of 214,928 hours (36.72727 hours per response x 5,852
responses).

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An agency may not conduct or sponsor, and a person is not required to respond to, a
collection of information unless it displays a currently valid control number.
The public may view the background documentation for this information collection at the
following website, www.reginfo.gov. Comments should be directed to: (i) Desk Officer for the
Securities and Exchange Commission, Office of Information and Regulatory Affairs, Office of
Management and Budget, Room 10102, New Executive Office Building, Washington, DC
20503, or by sending an e-mail to: [email protected]; and (ii) Charles Riddle,
Acting Director/Chief Information Officer, Securities and Exchange Commission,
c/o Candace Kenner, 100 F Street, NE, Washington, DC 20549 or send an e-mail to:
[email protected]. Comments must be submitted to OMB within 30 days of this notice.

Vanessa A. Countryman
Acting Secretary
May 2, 2019