Information Collection

Form WB-APP -Retain Counsel

IC 195122 under ICR 202102-3235-009 · OMB 3235-0686.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3235-0686 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SEC2851 Form WB-APP -Retain Counsel	Form and Instruction
SEC2851 Form WB-APP formwb-app.pdf www.sec.gov/files/formwb-app.pdf	Form and Instruction
SEC2851 Form WB-APP formwb-app.pdf www.sec.gov/files/formwb-app.pdf	Form and Instruction

IC Title:

Form WB-APP -Retain Counsel

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

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 and Instruction	SEC2851	Form WB-APP	formwb-app.pdf	https://www.sec.gov/files/formwb-app.pdf	No		Printable Only

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 11

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	11	5	6
Annual IC Time Burden (Hours)	44	44	0
Annual IC Cost Burden (Dollars)	17,600	12,800	4,800

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.