Information Collection Request

Form 4 - Statement of Changes in Beneficial Ownership of Securities

ICR 202603-3235-013 · OMB 3235-0287 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Form SEC 1474 Form 4 - Statement of Changes In Beneficial Ownership Form Modified Available
3235-0287_30-Day Submission Notice.pdf.pdf Supplementary Document Uploaded 2026-06-22 Available
3235-0287_60-Day Collection Notice.pdf Supplementary Document Uploaded 2026-04-14 Available
Form 4 Supporting Statement.2026.pdf Supporting Statement A Uploaded 2026-04-10 Available
March 6, 2025.EDGAR PIA.pdf Supplementary Document Uploaded 2026-04-10 Available
IC Document Collections
IC IDCollectionTypeStatusForm
34761 Form 4 - Statement of Changes in Beneficial Ownership of Securities Form ModifiedForm 4 - Statement of Changes In Beneficial Ownership
ICR Details
3235-0287 202603-3235-013
Received in OIRA 202602-3235-003
SEC CF
Form 4 - Statement of Changes in Beneficial Ownership of Securities
Revision of a currently approved collection   Yes
Regular 06/22/2026
  Requested Previously Approved
36 Months From Approved 08/31/2026
212,003 221,755
106,002 110,878
0 0

Congress enacted Section 16 of the Securities Exchange Act of 1934 (“Exchange Act”) to address insider trading. Pursuant to Section 16(a), every person who owns more than ten percent of any class of equity security (other than an exempted security) which is registered under Section 12 of the Exchange Act, or who is a director or an officer of the issuer of such security (collectively “reporting persons”) are required to file statements disclosing their ownership of the issuer’s equity securities. The Commission adopted Form 4 (17 CFR 249.104) pursuant to Section 16. Form 4 requires disclosure of certain information about a reporting person and their beneficial ownership of the relevant class of securities. A reporting person must file a Form 4 before the end of the second business day following the day on which a transaction resulting in a change in beneficial ownership has been executed.

US Code: 15 USC 78p, 78w(a) Name of Law: Securities Exchange Act of 1934
  
None

Not associated with rulemaking

  91 FR 19240 04/14/2026
91 FR 37167 06/22/2026
No

1
IC Title Form No. Form Name
Form 4 - Statement of Changes in Beneficial Ownership of Securities SEC 1474 Form 4 - Statement of Changes In Beneficial Ownership

  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 212,003 221,755 0 0 -9,752 0
Annual Time Burden (Hours) 106,002 110,878 0 0 -4,876 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
The decrease in annual burden hours of 4,876 hours is due to a decrease in the estimated number of annual responses (from 221,755 to 212,003).

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. 3235-0287) and (2) to designate OMB Control No. 3235-0287 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.
06/22/2026