Information Collection

Rule 12d1-4

IC 236862 under ICR 201907-3235-005 · OMB 3235-0772.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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IC Title:

Rule 12d1-4

Agency IC Tracking Number:

IC-33329

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 17 CFR 270.12d1-4

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

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4,342

Number of Respondents for Small Entity: 116

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to New Statute
Annual Number of Responses for this IC	9,493	9,493
Annual IC Time Burden (Hours)	47,573	47,573
Annual IC Cost Burden (Dollars)	18,022,321	18,022,321

Documents for IC

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