Information Collection

Form MA-W: Notice of Withdrawal from Registration as a Municipal Advisor

IC 196937 under ICR 202006-3235-004 · OMB 3235-0681.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3235-0681 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SEC 2901 Form MA-W: Notice of Withdrawal from Registration as a Municipal Advisor	Form
SEC 2901 Form MA-W Form_MA-W.pdf www.sec.gov/about/forms/formma-w.pdf	Form

IC Title:

Form MA-W: Notice of Withdrawal from Registration as a Municipal Advisor

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 17 CFR 240.15Ba1-4

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
Form	SEC 2901	Form MA-W	Form_MA-W.pdf	https://www.sec.gov/about/forms/formma-w.pdf	Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title: SEC 61 - Municipal Advisor Records

FR Citation: 75 FR 51854

Number of Respondents: 46

Number of Respondents for Small Entity: 16

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	46	6	40
Annual IC Time Burden (Hours)	23	3	20
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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