Information Collection

Rule 19b-4(o)(1) - Security-Based Swap Submissions

IC 203187 under ICR 201207-3235-002 · OMB 3235-0045.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3235-0045 can be found here:

Documents and Forms

Document Name Document Type
Form 19b-4 Rule 19b-4(o)(1) - Security-Based Swap Submissions Form and Instruction
19b-4 Form 19b-4 Form 19b-4-RC.pdf www.sec.gov/about/forms/form19b-4.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Rule 19b-4(o)(1) - Security-Based Swap Submissions	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 17 CFR 240.19b-(o)(1)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	19b-4	Form 19b-4	Form 19b-4-RC.pdf	http://www.sec.gov/about/forms/form19b-4.pdf	Yes	Yes	Fillable Fileable Signable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 6	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	Program Change Due to New Statute
Annual Number of Responses for this IC	120	120
Annual IC Time Burden (Hours)	16,800	16,800
Annual IC Cost Burden (Dollars)	2,548,800	2,548,800

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.