Information Collection

Form N-6 (17 CFR 239.17c) under the Securities Act of 1933 and (17 CFR 274.11d) under the Investment Company Act of 1940, Registration Statement of Separate Accounts Organized as Unit Investment Trust

IC 35269 under ICR 202203-3235-021 · OMB 3235-0503.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3235-0503 can be found here:

Documents and Forms

Document Name Document Type
Form SEC 2567 Form N-6 (17 CFR 239.17c) under the Securities Act of 1933 and (17 CFR 274.11d) under the Investment Company Act of 1940, Registration Statement of Separate Accounts Organized as Unit Investment Trust Form and Instruction
SEC 2567 Form N-6 formn-6.pdf www.sec.gov/about/forms/formn-6.pdf Form and Instruction
SEC 2567 Form N-6 formn-6.pdf www.sec.gov/about/forms/formn-6.pdf Form and Instruction
EDGAR PIA 2016.pdf EDGAR PIA IC Document
EDGAR PIA 2016.pdf EDGAR PIA IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Form N-6 (17 CFR 239.17c) under the Securities Act of 1933 and (17 CFR 274.11d) under the Investment Company Act of 1940, Registration Statement of Separate Accounts Organized as Unit Investment Trust	Agency IC Tracking Number:	270-446

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 17 CFR 274.11d 17 CFR 239.17

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	SEC 2567	Form N-6	formn-6.pdf	http://www.sec.gov/about/forms/formn-6.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: 236	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	236	-152	388
Annual IC Time Burden (Hours)	35,527	3,540	31,987
Annual IC Cost Burden (Dollars)	3,933,748	117,056	3,816,692

Documents for IC

Title	Document	Date Uploaded
EDGAR PIA	EDGAR PIA 2016.pdf	02/12/2019

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