Information Collection

Form ATS-N - Amendments

IC 232230 under ICR 202109-3235-014 · OMB 3235-0763.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3235-0763 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Form ATS-N Form ATS-N - Amendments	Form and Instruction
Form ATS-N Form ATS-N Form ATS-N.pdf www.sec.gov/about/forms/formats.pdf	Form and Instruction
Form ATS-N Form ATS-N Form ATS-N.pdf www.sec.gov/about/forms/formats.pdf	Form and Instruction

IC Title:

Form ATS-N - Amendments

Agency IC Tracking Number:

TM-270-451

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 17 CFR 242.304 17 CFR 249.640

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	Form ATS-N	Form ATS-N	Form ATS-N.pdf	http://www.sec.gov/about/forms/formats.pdf	Yes	Yes	Fillable Fileable Signable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 35

Number of Respondents for Small Entity: 5

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	175	52	123
Annual IC Time Burden (Hours)	1,645	489	1,156
Annual IC Cost Burden (Dollars)	0	0	0

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.