Information Collection

Form 1-Z

IC 212638 under ICR 201806-3235-022 · OMB 3235-0723.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3235-0723 can be found here:

Documents and Forms

Document Name Document Type
Form SEC 2916 Form 1-Z Form and Instruction
SEC 2916 FORM 1-Z form1-z.07-31-2018.pdf www.sec.gov/files/form1-z.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Form 1-Z	Agency IC Tracking Number:	CF 270-659

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 17 CFR 239.94

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	SEC 2916	FORM 1-Z	form1-z.07-31-2018.pdf	https://www.sec.gov/files/form1-z.pdf	Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 17	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	17	-140	157
Annual IC Time Burden (Hours)	26	-210	236
Annual IC Cost Burden (Dollars)	0	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.