Information Collection

Non-index Filings

IC 42609 under ICR 202306-3084-001 · OMB 3084-0005.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3084-0005 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form C4 Non-index Filings	Form
Form C4 Notification and Form for Certain Mergers and Acquisitions Non-index Filings	Form
hsr_form_instructions_9-25-19.pdf www.ftc.gov/system/files/attachments/form-instructions/hsr_form_instructions_9-25-19.pdf	Instruction
hsr_form_instructions_9-25-19.pdf www.ftc.gov/system/files/attachments/form-instructions/hsr_form_instructions_9-25-19.pdf	Instruction
C4 Notification and Form for Certain Mergers and Acquisitio hsr_form_ver_102_-_01-02-17_0.pdf www.ftc.gov/system/files/attachments/form-instructions/hsr_form_ver_102_-_01-02-17_0.pdf	Form
C4 Notification and Form for Certain Mergers and Acquisitio hsr_form_ver_102_-_01-02-17_0.pdf www.ftc.gov/system/files/attachments/form-instructions/hsr_form_ver_102_-_01-02-17_0.pdf	Form

IC Title:

Non-index Filings

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 16 CFR 802 16 CFR 803 16 CFR 801

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	C4			https://www.ftc.gov/system/files/attachments/form-instructions/hsr_form_ver_102_-_01-02-17_0.pdf	Yes	Yes	Fillable Fileable Signable
Instruction				https://www.ftc.gov/system/files/attachments/form-instructions/hsr_form_instructions_9-25-19.pdf	No		Printable Only

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 7,096

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 New Statute	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	7,096	0	0	7,096
Annual IC Time Burden (Hours)	1,021,824	37,964	721,308	262,552
Annual IC Cost Burden (Dollars)	0	0	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.

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