Information Collection

Paragraph (b)(11) of Rule 17a-4

IC 209189 under ICR 201603-3235-006 · OMB 3235-0279.

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Information Collection (IC) Details

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IC Title:	Paragraph (b)(11) of Rule 17a-4	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 17 CFR 240.17a-4(b)(11)

Information Collection 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: 150	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to New Statute	Previously Approved
Annual Number of Responses for this IC	150	45	105
Annual IC Time Burden (Hours)	450	135	315
Annual IC Cost Burden (Dollars)	0	0	0

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