Information Collection

Rule 15Ba2-5 Statements

IC 277204 under ICR 202505-3235-013 · OMB 3235-0083.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
17 CFR 240.15Ba2-5 (up to date as of 8-26-2025).pdf www.ecfr.gov/current/title-17/chapter-II/part-240/subpart-A/subject-group-ECFRe99e268f93b73cc/section-240.15Ba2-5	Instruction
17 CFR 240.15Ba2-5 (up to date as of 8-26-2025).pdf www.ecfr.gov/current/title-17/chapter-II/part-240/subpart-A/subject-group-ECFRe99e268f93b73cc/section-240.15Ba2-5	Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? Yes

IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 17 CFR 240.15Ba2-5

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
Instruction				https://www.ecfr.gov/current/title-17/chapter-II/part-240/subpart-A/subject-group-ECFRe99e268f93b73cc/section-240.15Ba2-5	Yes	No	Printable Only

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	1	1
Annual IC Time Burden (Hours)	4	4
Annual IC Cost Burden (Dollars)	1,828	1,828

Documents for IC

table that charts IC Documents
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.

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