Information Collection

Form N-17f-1

IC 34910 under ICR 202010-3235-003 · OMB 3235-0359.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3235-0359 can be found here:

Documents and Forms

Document Name Document Type
Form SEC-2205 Form N-17f-1 Form and Instruction
SEC-2205 Form N-17f-1 Form N-17f-1 (2014).pdf www.sec.gov/about/forms/formn-17f-1 Form and Instruction
SEC-2205 Form N-17f-1 Form N-17f-1 (2014).pdf www.sec.gov/about/forms/formn-17f-1 Form and Instruction
EDGAR PIA 2016.pdf EDGAR PIA IC Document
EDGAR PIA 2016.pdf EDGAR PIA IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Form N-17f-1	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 17 CFR 270.17f-1

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	SEC-2205	Form N-17f-1	Form N-17f-1 (2014).pdf	http://www.sec.gov/about/forms/formn-17f-1	Yes	Yes	Fillable Printable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title: Periodic Reports Filed under the Securities Act of 1933, Securities Exchange Act of 1934, Public Utility Holding Company Act of 1935, and Investment Company Act of 1940 and Investment Advisers Act of	FR Citation: 41 FR 41550

Number of Respondents: 6	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	Previously Approved
Annual Number of Responses for this IC	18	18
Annual IC Time Burden (Hours)	27	27
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
EDGAR PIA	EDGAR PIA 2016.pdf	03/08/2018

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