Information Collection Request

Form 1-SA

ICR 202504-3235-018 · OMB 3235-0721 · Active

Forms and Documents
DocumentTypeStatusAvailability
Form SEC 2914 Form 1-SA Form and Instruction Modified Available
Form SEC 2914 Form 1-SA Form and Instruction Modified Repair queued
20250903_3235-0721_2025-16894_90 FR 42631_30-Day Submission Notice.pdf.pdf Supplementary Document Uploaded 2025-09-03 Available
20250903_3235-0721_2025-16894_90 FR 42631_30-Day Submission Notice.pdf.pdf Supplementary Document Uploaded 2025-09-03 Repair queued
Form 1-SA.SupportingStatemen.FinalFinal.2025.pdf Supporting Statement A Uploaded 2025-09-15 Repair queued
Form 1-SA.SupportingStatemen.2025.FinalFinal.pdf Supporting Statement A Uploaded 2025-08-25 Repair queued
2025 06 27_90 FR 27737_3235-0721_60-Day Collection Notice.pdf Supplementary Document Uploaded 2025-06-27 Repair queued
2025 06 27_90 FR 27737_3235-0721_60-Day Collection Notice.pdf Supplementary Document Uploaded 2025-06-27 Repair queued
March 6, 2025.EDGAR PIA.pdf Supplementary Document Uploaded 2025-08-25 Available
March 6, 2025.EDGAR PIA.pdf Supplementary Document Uploaded 2025-08-25 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
212628 Form 1-SA Form and Instruction ModifiedForm 1-SA
212628 Form 1-SA Form and Instruction Modified
ICR Details
3235-0721 202504-3235-018
Active 202207-3235-025
SEC CF
Form 1-SA
Extension without change of a currently approved collection   No
Regular
Approved with change 12/09/2025
Retrieve Notice of Action (NOA) 09/03/2025
OMB understands that SEC is in the process of revising its methodologies to estimate annualized costs to the Federal government for all its relevant collections of information. OMB anticipates that future extensions of this OMB control number will reflect the revised methodologies. Supporting statement updated during OMB review.
  Inventory as of this Action Requested Previously Approved
12/31/2028 36 Months From Approved 12/31/2025
464 0 55
74,163 0 8,791
7,852,550 0 618,420

The Securities Act of 1933, as amended (the “Securities Act”), generally requires that a registration statement be filed with the Securities and Exchange Commission (the “Commission”) disclosing prescribed information before securities may be offered for sale to the public. While the Securities Act already authorizes the Commission to exempt certain securities and transactions from registration, Section 401 of the Jumpstart Our Business Startups Act added Section 3(b)(2) to the Securities Act, creating a new exemption from registration. The Commission has adopted various rules (collectively, “Regulation A”) establishing a limited offering exemption from the registration requirements of the Securities Act. Regulation A provides an exemption for offerings that satisfy certain conditions, such as filing an offering statement with the Commission, limiting the dollar amount of the offering and, in certain instances, filing ongoing reports with the Commission. Form 1-SA is filed with the Commission under Regulation A. The purpose of Forms 1-SA is to better inform the public about companies that have conducted Tier 2 offerings under Regulation A. Form 1-SA provides semiannual, interim financial statements and information about the issuer’s liquidity, capital resources and operations after the issuer’s second fiscal quarter. The Commission will use very little of the collected information itself, except on an occasional basis in the enforcement of federal securities laws.

US Code: 15 USC 77g, 77j, 77s(a), 77z-3 Name of Law: Securities Act of 1933
   US Code: 15 USC 78c(b), 78l, 78m, 78o, 78w(a) Name of Law: Securities Exchange Act of 1934
   US Code: 15 USC 78mm Name of Law: Securities Exchange Act of 1934
  
None

Not associated with rulemaking

  90 FR 27737 06/27/2025
90 FR 42631 09/03/2025
No

1
IC Title Form No. Form Name
Form 1-SA SEC 2914 Form 1-SA

  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 464 55 0 0 409 0
Annual Time Burden (Hours) 74,163 8,791 0 0 65,372 0
Annual Cost Burden (Dollars) 7,852,550 618,420 0 0 7,234,130 0
No
No
The increase of 65,372 burden hours and the increase in cost burden of $7,234,130 displayed in the above table are due to two adjustments: the first is an increase of 409 in the number of annual responses, calculated by the difference between 464, the average number of respondents annually filing Forms 1-SA over the last three-year period ended December 31, 2024, and 55, the average number of respondents annually filing the Forms 1-SA over the previously reported three year period; and the second is the Commission’s change in the estimated cost burden per hour for outside professionals from $398 per hour to $600 per hour. Accordingly, based on our estimates, we calculate the burden hours adjustment increase to be 65,372, calculated, as follows: 85% x 188.04 hours per response x 409 responses. We also calculate the cost burden adjustment increase to be $7,234,130, calculated based on the difference between the estimated annual cost burden of $7,852,550, as reported in the table under Question 13 above, assuming 464 responses per year, and the annual cost burden of $618,420, as reported in our supporting statement for the previous reporting period, assuming 55 responses per year.

No
    Yes
    No
No
No
No
No
Pearl Crawley 202 551-3256 [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.
09/03/2025