Information Collection

Rule 147A(f)(1)(iii) Written Representation as to Purchaser Residency

IC 225143 under ICR 202306-3235-013 · OMB 3235-0757.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3235-0757 can be found here:

Documents and Forms

Document Name Document Type

No indexed documents/forms are available for this IC yet. A refresh has been queued.

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Rule 147A(f)(1)(iii) Written Representation as to Purchaser Residency	Agency IC Tracking Number:	CF 270-806

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 17 CFR 230.147A

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: 700	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	700	0	700
Annual IC Time Burden (Hours)	1,925	0	1,925
Annual IC Cost Burden (Dollars)	105,000	35,000	70,000

Documents for IC

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.