Information Collection

Form 12b-25 - Notification of late filing

IC 34163 under ICR 202202-3235-009 · OMB 3235-0058.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3235-0058 can be found here:

Documents and Forms

Document Name Document Type
Form SEC 1344 Form 12b-25 - Notification of late filing Form and Instruction
SEC 1344 Form 12b-25 form12b-25.02-28-2022.pdf www.sec.gov/about/forms/form12b-25.pdf Form and Instruction
SEC 1344 Form 12b-25 form12b-25.02-28-2022.pdf www.sec.gov/about/forms/form12b-25.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Form 12b-25 - Notification of late filing	Agency IC Tracking Number:	CF 270-71

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 17 CFR 240.12b-25

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	SEC 1344	Form 12b-25	form12b-25.02-28-2022.pdf	http://www.sec.gov/about/forms/form12b-25.pdf	Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,432	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	3,432	3,432
Annual IC Time Burden (Hours)	8,580	8,580
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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