Information Collection

IC12 - Statement Regarding Independent Public Accountant (Carrying or Clearing BD)

IC 226201 under ICR 202506-3235-003 · OMB 3235-0123.

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Information Collection (IC) Details

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IC Title:	IC12 - Statement Regarding Independent Public Accountant (Carrying or Clearing BD)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation: 17 CFR 240.17a-5

Information Collection 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: 8	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	Previously Approved
Annual Number of Responses for this IC	8	8
Annual IC Time Burden (Hours)	80	80
Annual IC Cost Burden (Dollars)	4	4

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