Information Collection

IC5 - Rule 17Ad-22(c)(2) (for respondents already registered)

IC 203049 under ICR 202412-3235-019 · OMB 3235-0695.

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IC Title:

IC5 - Rule 17Ad-22(c)(2) (for respondents already registered)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation: 17 CFR 240.17Ad-22(c)(2)

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

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 9

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	9	9
Annual IC Time Burden (Hours)	2,250	2,250
Annual IC Cost Burden (Dollars)	4,500,000	4,500,000

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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