Form 3 - Initial Statement of Beneficial Ownership of Securities

ICR 202308-3235-020

OMB: 3235-0104

Federal Form Document

Forms and Documents
Document
Name
Status
Supporting Statement A
2023-08-24
Supplementary Document
2023-08-23
IC Document Collections
ICR Details
3235-0104 202308-3235-020
Received in OIRA 202105-3235-013
SEC CF 270-125
Form 3 - Initial Statement of Beneficial Ownership of Securities
Revision of a currently approved collection   No
Regular 08/24/2023
  Requested Previously Approved
36 Months From Approved 07/31/2024
24,165 21,968
12,083 10,984
0 0

Form 3 is an initial statement of beneficial ownership of equity securities required to be filed by officers, directors and ten percent holders of companies with securities registered under Section 12 of the Securities Exchange Act of 1934.

US Code: 15 USC 78w(a) Name of Law: Securities Exchange Act of 1934
   US Code: 15 USC 78c(a), 78c(b), 78m, 78p Name of Law: Securities Exchange Act of 1934
  
None

3235-AM93 Proposed rulemaking 87 FR 13846 03/10/2022

No

1
IC Title Form No. Form Name
Form 3 - Initial Statement of Beneficial Ownership of Securities SEC 1473 Form 3 - Initial Statement of Beneficial Ownership of Securities

  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 24,165 21,968 0 2,197 0 0
Annual Time Burden (Hours) 12,083 10,984 0 1,099 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Changing Regulations
No
As explained in further detail in Items 1, 2, 12 and 13 above, changes in burden for Schedules 13D and 13G and Forms 3, 4 and 5 would result from the proposed amendments to Rules 13d-2(b), 13d-3, 13d-5 and Item 6 of Schedule 13D. These amendments were proposed in order to modernize the Commission’s beneficial ownership reporting rules. We estimate that the proposed amendments would increase the burdens associated with Regulation 13D-G and the burdens associated with Forms 3, 4 and 5. For purposes of the PRA, we estimate that the proposed amendments would result in an increase of 2,197 annual responses for Form 3, an increase of 1,099 burden hours for Form 3 and an increase in the cost burden of $0 for the services of outside professionals for Form 3.

$129,168,390
No
    Yes
    No
No
No
No
No
Valian Afshar 202 551-3440 [email protected]

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
08/24/2023


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