Information Collection Request

Form 4 - Statement of Changes in Beneficial Ownership of Securities

ICR 202602-3235-003 · OMB 3235-0287 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form SEC 1474 Form 4 - Statement of Changes In Beneficial Ownership Form Modified Available
HFIAA PRA Supporting Statement.final.pdf Supporting Statement A Uploaded 2026-03-02 Available
HFIAA PRA Emergency Memo (final) - signed.pdf Supplementary Document Uploaded 2026-03-02 Available
March 6, 2025.EDGAR PIA.pdf Supplementary Document Uploaded 2026-02-23 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
34761 Form 4 - Statement of Changes in Beneficial Ownership of Securities Form ModifiedForm 4 - Statement of Changes In Beneficial Ownership
34761 Form 4 - Statement of Changes in Beneficial Ownership of Securities Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
08/31/2026 6 Months From Approved 01/31/2028
221,755 0 186,052
110,878 0 93,026
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Form 4 - Statement of Changes in Beneficial Ownership of Securities SEC 1474

table that charts list of burden
  Total Approved 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 221,755 186,052 35,703 0 0 0
Annual Time Burden (Hours) 110,878 93,026 17,852 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No