Information Collection

Form MSD

IC 34324 under ICR 202505-3235-013 · OMB 3235-0083.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SEC1534 Form MSD	Form and Instruction
Form SEC1534 Form MSD Form MSD	Form and Instruction
SEC1534 Form MSD Form MSD (rev. 08-25).pdf www.sec.gov/about/forms/formmsd.pdf	Form and Instruction
SEC1534 Form MSD Form MSD (rev. 08-25).pdf www.sec.gov/about/forms/formmsd.pdf	Form and Instruction

IC Title:

Form MSD

Agency IC Tracking Number:

Is this a Common Form? Yes

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 17 CFR 249.1100 17 CFR 240.15Ba2-1 17 CFR 240.15Ba2-4

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
Form and Instruction	SEC1534			http://www.sec.gov/about/forms/formmsd.pdf	Yes	No	Fillable Printable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 15

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	Previously Approved
Annual Number of Responses for this IC	15	8	7
Annual IC Time Burden (Hours)	23	12	11
Annual IC Cost Burden (Dollars)	10,511	10,511	0

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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