Information Collection

Form C

IC 211496 under ICR 202104-3235-013 · OMB 3235-0716.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3235-0716 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SEC 2930 Form C	Form and Instruction
SEC 2930 Form C formc.08-31-2022.pdf www.sec.gov/files/formc.pdf	Form and Instruction
SEC 2930 Form C formc.08-31-2022.pdf www.sec.gov/files/formc.pdf	Form and Instruction

IC Title:

Form C

Agency IC Tracking Number:

CF 270-658

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 17 CFR 239.900

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	SEC 2930	Form C	formc.08-31-2022.pdf	https://www.sec.gov/files/formc.pdf	Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 5,907

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	5,907	55	5,852
Annual IC Time Burden (Hours)	221,378	6,450	214,928
Annual IC Cost Burden (Dollars)	29,358,657	858,657	28,500,000

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.