Information Collection

Stand-alone SBSDs: Paragraphs (a)(13), (a)(14), and (a)(16)

IC 222093 under ICR 202104-3235-001 · OMB 3235-0745.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3235-0745 can be found here:

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Information Collection (IC) Details

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IC Title:	Stand-alone SBSDs: Paragraphs (a)(13), (a)(14), and (a)(16)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 17 CFR 240.18a-5

Information Collection Instruments:

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

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title:	FR Citation:

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: 0 %

	Approved	Program Change Due to New Statute	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	6	9	-3
Annual IC Time Burden (Hours)	570	855	-285
Annual IC Cost Burden (Dollars)	0	0	0

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