Information Collection

IC21 - SCI review required by Rule 1003(b)(3)

IC 207224 under ICR 202308-3235-002 · OMB 3235-0703.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3235-0703 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Form SCI IC21 - SCI review required by Rule 1003(b)(3)	Form and Instruction
Form SCI Form SCI Form SCI.pdf www.sec.gov/files/form-sci.pdf	Form and Instruction
Form SCI Form SCI Form SCI.pdf www.sec.gov/files/form-sci.pdf	Form and Instruction

IC Title:

IC21 - SCI review required by Rule 1003(b)(3)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 17 CFR 242.1003(b)

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 SCI	Form SCI	Form SCI.pdf	https://www.sec.gov/files/form-sci.pdf	Yes	Yes	Fillable Fileable Signable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 58

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

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	58	4	54
Annual IC Time Burden (Hours)	58	4	54
Annual IC Cost Burden (Dollars)	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.