Information Collection

Reporting and Disclosure Rule 13e-3 (17 CFR 240.13e) and Schedule 13E-3 (17 CFR 240.13e-100)

IC 240080 under ICR 202203-7100-002 · OMB 7100-0091.

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Information Collection (IC) Details

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IC Title:	Reporting and Disclosure Rule 13e-3 (17 CFR 240.13e) and Schedule 13E-3 (17 CFR 240.13e-100)	Agency IC Tracking Number:	FR H-1

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 12 CFR 208.36 17 CFR 240.13e 17 CFR 240.13e-100

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2	Number of Respondents for Small Entity: 1

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

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	2	-4	6
Annual IC Time Burden (Hours)	69	-1,074	1,143
Annual IC Cost Burden (Dollars)	0	0	0

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