Information Collection

Rule 17a-14 and Form CRS under the Securities Exchange Act of 1934

IC 231405 under ICR 202511-3235-004 · OMB 3235-0766.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
EDGAR PIA 2016.pdf EDGAR PIA	IC Document
EDGAR PIA 2016.pdf EDGAR PIA	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 17 CFR 249.640 17 CFR 240.17a-14

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

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: 1

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1	-2,549	2,550
Annual IC Time Burden (Hours)	0	-6,098,916	6,098,916
Annual IC Cost Burden (Dollars)	0	-181,194	181,194

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
EDGAR PIA		02/14/2019

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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