Information Collection

Rule 6a-1 - Initial Application

IC 34046 under ICR 202303-3235-009 · OMB 3235-0017.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3235-0017 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Form 1 Rule 6a-1 - Initial Application	Form and Instruction
Form 1 Form 1 Form 1 (2023 Proposed Amendment).pdf www.sec.gov/edgar	Form and Instruction
Form 1 Form 1 Form 1 (2023 Proposed Amendment).pdf www.sec.gov/edgar	Form and Instruction

IC Title:

Rule 6a-1 - Initial Application

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 17 CFR 240.6a-1

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Form 1	Form 1	Form 1 (2023 Proposed Amendment).pdf	https://www.sec.gov/edgar	Yes	Yes	Fillable Fileable Signable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1	0	1
Annual IC Time Burden (Hours)	891	11	880
Annual IC Cost Burden (Dollars)	2,500	2,500	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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