Information Collection

IC5 - Rule 17Ad-22(c)(2) (for respondents already registered)

IC 203049 under ICR 202004-3235-009 · OMB 3235-0695.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3235-0695 can be found here:

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Information Collection (IC) Details

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IC Title:	IC5 - Rule 17Ad-22(c)(2) (for respondents already registered)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation: 17 CFR 240.17Ad-22(c)(2)

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: 9	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	Previously Approved
Annual Number of Responses for this IC	9	9
Annual IC Time Burden (Hours)	2,250	2,250
Annual IC Cost Burden (Dollars)	4,500,000	4,500,000

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