Information Collection

IC5 - Rule 18a-4(d)(1) (Counterparty Notice)-- Ongoing Burden

IC 236999 under ICR 202207-3235-021 · OMB 3235-0700.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3235-0700 can be found here:

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Information Collection (IC) Details

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IC Title:	IC5 - Rule 18a-4(d)(1) (Counterparty Notice)-- Ongoing Burden	Agency IC Tracking Number:	TM-270-650

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 17 CFR 240.18a-4

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: 40	Number of Respondents for Small Entity: 0

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	8,000	400	7,600
Annual IC Time Burden (Hours)	1,360	68	1,292
Annual IC Cost Burden (Dollars)	0	0	0

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