Information Collection

Rule 15Ba2-5 Statements

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

Documents and Forms

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

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Rule 15Ba2-5 Statements	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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			17 CFR 240.15Ba2-5 (up to date as of 8-26-2025).pdf	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 %

	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

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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