Information Collection Request

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

ICR 202110-3235-011 · OMB 3235-0037 · Received in OIRA

Forms and Documents

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

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
34104 Form X-17F-1A Form and Instruction Unchanged

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 03/31/2022
303,000 303,000
25,250 25,250
0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Form X-17F-1A SEC 1666 Form X-17F-1A

table that charts list 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


Reginfo record details
  No