Form D-Notice of sales filed by issuers of securities under Regulation D.

ICR 202003-3235-007

OMB: 3235-0076

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supporting Statement A
2020-03-20
Supplementary Document
2020-03-11
Supplementary Document
2020-03-11
Supplementary Document
2020-03-19
IC Document Collections
ICR Details
3235-0076 202003-3235-007
Active 201612-3235-001
SEC CF-270-072
Form D-Notice of sales filed by issuers of securities under Regulation D.
Extension without change of a currently approved collection   No
Regular
Approved without change 04/23/2020
Retrieve Notice of Action (NOA) 03/20/2020
  Inventory as of this Action Requested Previously Approved
04/30/2023 36 Months From Approved 04/30/2020
23,571 0 26,000
23,571 0 26,000
28,285,200 0 31,200,000

Form D is a notice of sales filed by issuers making an offering of securities in reliance on an exemption under Regulation D or Section 4(a)(5) of the Securities Act of 1933.

US Code: 15 USC 77c(b)(1), 77s, 77z-3 Name of Law: Securities Act of 1933
   US Code: 15 USC 78l, 78m, 78o, 78w(a), 78mm Name of Law: Securities Exchange Act of 1934
  
None

Not associated with rulemaking

  84 FR 71504 12/27/2019
85 FR 14256 03/11/2020
No

1
IC Title Form No. Form Name
Form D-Notice of Exempt Offering of Securities SEC1972 Form D -Notice of Exempt Offering of Securities

  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 23,571 26,000 0 0 -2,429 0
Annual Time Burden (Hours) 23,571 26,000 0 0 -2,429 0
Annual Cost Burden (Dollars) 28,285,200 31,200,000 0 0 -2,914,800 0
No
No
The decrease in burden of -2,429 hours and the decrease in cost burden of ($2,914,800) is due to an adjustment. The decrease in both the burden hours and cost burden reflects a decrease in the number of respondents filing Form D Notices with the Commission.

$102,000,000
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.
03/20/2020


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