Information Collection

Rule 17a-5; Quarterly reports to be made by certain brokers and dealers

IC 42969 under ICR 201403-3235-017 · OMB 3235-0123.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3235-0123 can be found here:

Documents and Forms

Document Name Document Type
Form SEC1696 Rule 17a-5; Quarterly reports to be made by certain brokers and dealers Form
formx-17a-5_2a inst.pdf www.sec.gov/about/forms/formx-17a-5_2a.pdf Instruction
SEC1696 Focus Report Part IIA formx-17a-5_2f.pdf www.sec.gov/about/forms/formx-17a-5_2f.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Rule 17a-5; Quarterly reports to be made by certain brokers and dealers	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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
Form	SEC1696	Focus Report Part IIA	formx-17a-5_2f.pdf	http://www.sec.gov/about/forms/formx-17a-5_2f.pdf	Yes	Yes	Fillable Fileable
Instruction			formx-17a-5_2a inst.pdf	http://www.sec.gov/about/forms/formx-17a-5_2a.pdf	Yes	Yes	Printable Only

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 4,134	Number of Respondents for Small Entity: 812

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 90 %

	Approved	Previously Approved
Annual Number of Responses for this IC	16,536	16,536
Annual IC Time Burden (Hours)	198,432	198,432
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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