Form T-4 - Application For Exemption

ICR 201902-3235-027

OMB: 3235-0107

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supporting Statement A
2019-05-22
Supplementary Document
2019-05-22
Supplementary Document
2019-05-22
Supplementary Document
2019-05-22
IC Document Collections
IC ID
Document
Title
Status
34363 Modified
ICR Details
3235-0107 201902-3235-027
Active 201512-3235-014
SEC CF-270-124
Form T-4 - Application For Exemption
Extension without change of a currently approved collection   No
Regular
Approved without change 07/12/2019
Retrieve Notice of Action (NOA) 05/23/2019
  Inventory as of this Action Requested Previously Approved
07/31/2022 36 Months From Approved 07/31/2019
3 0 3
3 0 3
4,800 0 4,800

Form T-4 is used to apply for an exemption under Section 304(c) of the Trust Indenture Act of 1939.

US Code: 15 USC 77ddd(c) Name of Law: Trust Indenture Act of 1939
  
None

Not associated with rulemaking

  84 FR 5137 02/20/2019
84 FR 16748 04/22/2019
No

1
IC Title Form No. Form Name
Form T-4 Application For Exemption SEC-1920 Form T-4

  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 3 3 0 0 0 0
Annual Time Burden (Hours) 3 3 0 0 0 0
Annual Cost Burden (Dollars) 4,800 4,800 0 0 0 0
No
No

$1,000
No
    No
    No
No
No
No
Uncollected
Sean Harrison 202 942-2910

  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.
05/23/2019


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