Information Collection

Rule 211(h)(2)-4 (17 C.F.R. 275.211(h)(2)-4) under the Investment Advisers Act of 1940

IC 263564 under ICR 202311-3235-030 · OMB 3235-0815.

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IC Title:	Rule 211(h)(2)-4 (17 C.F.R. 275.211(h)(2)-4) under the Investment Advisers Act of 1940	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 17 CFR 275.222(h)(2)-4

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: 15,402	Number of Respondents for Small Entity: 489

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	15,402	15,402
Annual IC Time Burden (Hours)	1,193,655	1,193,655
Annual IC Cost Burden (Dollars)	0	0

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