Reporting of missing, lost, stolen or counterfeit securities (17 CFR Section 240.17f-1(c); Form X-17F-1A (17 CFR Section 249.100)

Forms and Documents

Document Name	Status
Form SEC 1666 Form X-17F-1A Form and Instruction	Unchanged
3235-0341 2021-24425.pdf Supplementary Document	2022-01-11
3235-0037.pdf Supplementary Document	2022-01-11
DGL REVISED 2021 Rule 17f-1(c) - Supporting Statement.pdf Supporting Statement A	2021-10-25
60 day notice Federal Register, Volume 83 Issue 158 (Wednesday, August 15, 2018).htm Supplementary Document	2018-12-12
30 day notice for Federal Register, Volume 83 Issue 222 (Friday, November 16, 2018).htm Supplementary Document	2018-12-12

IC Document Collections

IC ID	Document Title	Status
34104	Form X-17F-1A Form and Instruction	Unchanged

ICR Details

OMB Control No: 3235-0037	ICR Reference No: 202110-3235-011
Status: Received in OIRA	Previous ICR Reference No: 201807-3235-003
Agency/Subagency: SEC	Agency Tracking No: TM-270-029
Title: Reporting of missing, lost, stolen or counterfeit securities (17 CFR Section 240.17f-1(c); Form X-17F-1A (17 CFR Section 249.100)
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 01/11/2022

	Requested	Previously Approved
Expiration Date	36 Months From Approved	03/31/2022
Responses	303,000	303,000
Time Burden (Hours)	25,250	25,250
Cost Burden (Dollars)	0	0

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Abstract: Rule 17f-1(c) requires reporting institutions to report, lost, stolen, missing, or counterfeit securities to a central data base. Form X-17F-1A facilitates the accurate reporting and precise and immediate data entry into the computerized database. Exchanges, securities associations and the members, broker-dealers, transfer agents, and clearing agencies and their participants, FDIC banks, and Federal Reserve member banks must comply with the rule.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 62232	11/09/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 1445	01/11/2022
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Form X-17F-1A	SEC 1666	Form X-17F-1A

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ICR Summary of Burden

	Total Request	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	303,000	303,000	0	0	0	0
Annual Time Burden (Hours)	25,250	25,250	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 01/11/2022

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