Information Collection

Rule 17h-2T (quarterly risk assessment reports & annual financial statements)

IC 259761 under ICR 202303-3235-032 · OMB 3235-0410.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3235-0410 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Form 17-H Rule 17h-2T (quarterly risk assessment reports & annual financial statements)	Form and Instruction
Form 17-H Form 17-H Form17-H (proposed revision).pdf	Form and Instruction
Form 17-H Form 17-H Form17-H (proposed revision).pdf	Form and Instruction

IC Title:

Rule 17h-2T (quarterly risk assessment reports & annual financial statements)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 17 CFR 249.328T

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 17-H	Form 17-H	Form17-H (proposed revision).pdf		Yes	No	Fillable Fileable Signable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 245

Number of Respondents for Small Entity: 9

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
Annual Number of Responses for this IC	1,225	1,225
Annual IC Time Burden (Hours)	3,430	3,430
Annual IC Cost Burden (Dollars)	0	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.