Rule 13e-3 (Schedule 13E-3)

ICR 202512-3235-034

OMB: 3235-0007

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
3235-0007 202512-3235-034
Received in OIRA 202303-3235-020
SEC CF
Rule 13e-3 (Schedule 13E-3)
Revision of a currently approved collection   Yes
Regular 03/13/2026
  Requested Previously Approved
36 Months From Approved 04/30/2026
41 77
1,422 2,670
2,559,015 3,203,048

Rule 13e-3 (17 CFR 240.13e-3) prescribes the filing, disclosure, and dissemination requirements in connection with a going private transaction by an issuer or an affiliate. A “Rule 13e-3 transaction” is a transaction or series of transactions specified in Rule 13e-3(a)(3)(i) that has either a reasonable likelihood or a purpose of producing, either directly or indirectly, any of the effects described in Rule 13e-3(a)(3)(ii). The effects referred to in Rule 13e-3(a)(3) include: (a) causing any class of equity securities of the issuer which is subject to Section 12(g) or Section 15(d) of the Securities Exchange Act of 1934 (“Exchange Act”) to be eligible for termination of registration, or causing the reporting obligations with respect to such class to become eligible for termination or suspension; or (b) causing any class of equity securities of the issuer which is either listed on a national securities exchange or authorized to be quoted in an inter-dealer quotation system of a registered national securities association to be neither listed on any national securities exchange nor authorized to be quoted on a inter-dealer quotation system of any registered national securities association. Schedule 13E-3 (17 CFR 240.13e-100) is the transaction statement that must be filed under Rule 13e-3. The information required by Rule 13e-3 and Schedule 13E-3 is intended to ensure investors are appropriately informed in connection with certain going private transactions.

US Code: 15 USC 78c, 78l, 78m, 78n, 78o(d) Name of Law: Securities Exchange Act of 1934
   US Code: 15 USC 77g, 77j, 77s(a) Name of Law: Securities Act of 1933
   US Code: 15 USC 78w(a), 78ll Name of Law: Securities Exchange Act of 1934
  
None

Not associated with rulemaking

  91 FR 1019 01/09/2026
91 FR 12454 03/13/2026
No

1
IC Title Form No. Form Name
Rule 13e-3 (Schedule 13E-3)

  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 41 77 0 0 -36 0
Annual Time Burden (Hours) 1,422 2,670 0 0 -1,248 0
Annual Cost Burden (Dollars) 2,559,015 3,203,048 0 0 -644,033 0
No
No
The decrease in the estimated annual burden hours of 1,248 hours is due to a decrease in the estimated number of annual responses (from 77 to 41). The decrease in cost burden of $644,033 is due to a decrease in the estimated number of annual Schedule 13E-3 responses, which is offset by an increase in the Commission’s estimate of the cost to issuers of outside professionals (from $400 per hour to $600 per hour).

No
    Yes
    No
No
No
No
No
Pearl Crawley 202 551-3256 [email protected]

  Yes
  The Securities and Exchange Commission (“Commission”) is submitting this Supporting Statement to request approval from the Office of Management and Budget (“OMB”) (1) for the extension of the existing collection of information (OMB Control No. 3235-0007) and (2) to designate OMB Control No. 3235-0007 as a “common form” for purposes of Paperwork Reduction Act (“PRA”) submissions because the Board of Governors of the Federal Reserve System uses this information collection (under OMB Control No. 7100-0091).
Agency/Sub Agency RCF ID RCF Title RCF Status IC Title

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
03/13/2026

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