Information Collection Request

Form 4 - Statement of Changes in Beneficial Ownership of Securities

ICR 202301-3235-010 · OMB 3235-0287 · Received in OIRA

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 3235-0287 can be found here:

Forms and Documents

Document Name	Status
Form SEC 1474 Form 4 - Statement of Changes in Beneficial Ownership of Securities Form	Modified
Rule10b5-1 Supporting Statement.Final.pdf Supporting Statement A	2023-01-10
February 5, 2020 EDGAR PIA.pdf Supplementary Document	2023-01-10

IC Document Collections

IC ID	Document Title	Status
34761	Form 4 - Statement of Changes in Beneficial Ownership of Securities Form	Modified

ICR Details

Status	Received in OIRA
Agency/Subagency	SEC
OMB Control No	3235-0287
Type of Information Collection	Revision of a currently approved collection
Previous ICR Reference No	202110-3235-005
Agency Tracking No	CF 270-126
Date Submitted to OIRA	1969-12-31
Requested Expiration Date	1969-12-31