Information Collection

Form CC

IC 240863 under ICR 202309-3235-011 · OMB 3235-0778.

Documents and Forms

Document Name Document Type
Form CC Form CC Form and Instruction
CC Form CC Form CC (Adopted).pdf Form and Instruction
CC Form CC Form CC (Adopted).pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Form CC	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 17 CFR 242.614(a)(1)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	CC	Form CC	Form CC (Adopted).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: 8	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	8	0	8
Annual IC Time Burden (Hours)	534	0	534
Annual IC Cost Burden (Dollars)	333	-249,241	249,574

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.