Information Collection Request

Reporting of missing, lost, stolen or counterfeit securities (17 CFR Section 240.17f-1(c); Form X-17F-1A (17 CFR Section 249.100)

ICR 202409-3235-021 · OMB 3235-0037 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form SEC 1666 Form X-17F-1A Form and Instruction Modified Available
Form SEC 1666 Form X-17F-1A Form and Instruction Modified Repair queued
89 FR 95255 (OMB 3235–0037).pdf Supplementary Document Uploaded 2024-12-02 Available
89 FR 95255 (OMB 3235–0037).pdf Supplementary Document Uploaded 2024-12-02 Repair queued
pia-srts-effs.pdf Supplementary Document Uploaded 2024-11-25 Available
pia-srts-effs.pdf Supplementary Document Uploaded 2024-11-25 Repair queued
89 FR 78919 (OMB 3235–0037).pdf Supplementary Document Uploaded 2024-11-22 Available
89 FR 78919 (OMB 3235–0037).pdf Supplementary Document Uploaded 2024-11-22 Repair queued
2024 Rule 17f-1(c) Supporting Statement.pdf Supporting Statement A Uploaded 2025-01-14 Repair queued
2024 Rule 17f-1(b) Supporting Statement.pdf Supporting Statement A Uploaded 2024-09-20 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
34104 Form X-17F-1A Form and Instruction ModifiedForm X-17F-1A
34104 Form X-17F-1A Form and Instruction Modified
271093 Rule 17f-1(c) New
271090 Rule 17f-1(c) New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
01/31/2028 36 Months From Approved 02/28/2025
3,550 0 303,000
980 0 25,250
0 0 0





Reginfo record details
3
table that charts list of burden
IC Title Form No. Form Name
Form X-17F-1A SEC 1666
Rule 17f-1(c)
Rule 17f-1(c)

table that charts list of burden
  Total Approved 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 3,550 303,000 0 0 -299,450 0
Annual Time Burden (Hours) 980 25,250 0 0 -24,270 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No