Disclosure and Retention of Certain Information Relating to Cleared Swaps Customer Collateral

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Information Collection (IC) Details

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IC Title:	Disclosure and Retention of Certain Information Relating to Cleared Swaps Customer Collateral	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 17 CFR 22.17 17 CFR 22.5(a) 17 CFR 22.12 17 CFR 22.11 17 CFR 22.2(g) 17 CFR 22.16

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 78	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	141,258	52,110	89,148
Annual IC Time Burden (Hours)	25,890	1,070	24,820
Annual IC Cost Burden (Dollars)	2,585,021	2,313,021	272,000

Documents for IC

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