Information Collection

13n-4(d) - Records of Requests

IC 219398 under ICR 202208-3235-017 · OMB 3235-0738.

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Documents and Forms

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Information Collection (IC) Details

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IC Title:	13n-4(d) - Records of Requests	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 17 CFR 240.13n-4(d)

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: 3	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	3	-7	10
Annual IC Time Burden (Hours)	1,200	-2,800	4,000
Annual IC Cost Burden (Dollars)	120,000	-280,000	400,000

Documents for IC

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