Information Collection Request

Exchange Act Form 10

ICR 202212-3235-008 · OMB 3235-0064 · Active

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 3235-0064 can be found here:

Forms and Documents

Forms and supporting documents for this ICR
Document	Type	Status	Availability
Form SEC 1396 Exchange Act Form 10	Form and Instruction	Modified	Available
Form SEC 1396 Exchange Act Form 10	Form and Instruction	Modified	Repair queued
Form 10.Justification for Non-Substantive Change.Final.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2022-12-19	Available
Form 10.Justification for Non-Substantive Change.Final.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2022-12-19	Missing upstream
Form 10.SS.Final.pdf	Supporting Statement A	Uploaded 2022-10-27	Available
Form 10.SS.Final.pdf	Supporting Statement A	Uploaded 2022-10-27	Repair queued
Form 10.30 Day Federal Register Notice.2022.pdf	Supplementary Document	Uploaded 2022-10-26	Available
Form 10.30 Day Federal Register Notice.2022.pdf	Supplementary Document	Uploaded 2022-10-26	Repair queued
Form 10.60 Day Federal Register Notice.2022.pdf	Supplementary Document	Uploaded 2022-10-26	Available
Form 10.60 Day Federal Register Notice.2022.pdf	Supplementary Document	Uploaded 2022-10-26	Repair queued
February 5, 2020 EDGAR PIA.pdf	Supplementary Document	Uploaded 2022-10-03	Available
February 5, 2020 EDGAR PIA.pdf	Supplementary Document	Uploaded 2022-10-03	Repair queued

Information collection document groups
IC ID	Collection	Type	Status	Form
34221	Exchange Act Form 10	Form and Instruction	Modified
34221	Exchange Act Form 10	Form and Instruction	Modified

Record metadata
Status	Active
Agency/Subagency	SEC
OMB Control No	3235-0064
Type of Information Collection	No material or nonsubstantive change to a currently approved collection
Previous ICR Reference No	202210-3235-003
Agency Tracking No	CF 270-051
Date Submitted to OIRA	2022-12-19
Requested Expiration Date	1969-12-31