Exchange Act Form 10

Forms and Documents

Document Name	Status
Form SEC 1396 Exchange Act Form 10 Form and Instruction	Modified
20251001_3235-0064_2025-19089_90 FR 47437_30-Day Submission Notice.pdf.pdf Supplementary Document	2025-10-02
Form 10.Supporting Statement.Final.pdf Supporting Statement A	2025-09-12
20250722_3235-0064_2025-13719_90 FR 34567_60-Day Collection Notice.pdf Supplementary Document	2025-07-22
March 6, 2025.EDGAR PIA.pdf Supplementary Document	2025-07-15

IC Document Collections

IC ID	Document Title	Status
34221	Exchange Act Form 10 Form and Instruction	Modified

ICR Details

OMB Control No: 3235-0064	ICR Reference No: 202506-3235-009
Status: Received in OIRA	Previous ICR Reference No: 202305-3235-008
Agency/Subagency: SEC	Agency Tracking No: CF
Title: Exchange Act Form 10
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 11/13/2025

	Requested	Previously Approved
Expiration Date	36 Months From Approved	11/30/2025
Responses	104	216
Time Burden (Hours)	5,170	10,821
Cost Burden (Dollars)	9,305,712	12,851,488

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Abstract: Sections 12(a), 12(b), and 13 of the Securities Exchange Act of 1934 (the “Exchange Act”) help ensure that investors receive sufficient issuer-oriented information to make informed investment decisions. Section 12(a) prohibits any broker or dealer from trading a security on a national securities exchange unless the security is registered under the Exchange Act. With respect to a security being registered on a national securities exchange, Section 12(b) authorizes the Securities and Exchange Commission (the “Commission”) to require the issuer to disclose specific kinds of information, such as information about the issuer’s organization, financial structure, business, and securities. Section 13 requires every issuer of a security registered pursuant to Section 12 to file periodic and current reports with the Commission. Section 12(g) of the Exchange Act generally requires issuers that have total assets exceeding $10,000,000 and a class of equity security held of record by either 2,000 persons or 500 persons who are not accredited investors to register such equity security with the Commission. Form 10 (17 CFR 249.210) is the general form adopted by the Commission for the registration of securities pursuant to Section 12(b) or 12(g) of the Exchange Act. Form 10 requires financial information and other disclosures about matters such as the issuer’s business, properties, identity and remuneration of management, outstanding securities, securities to be registered, and financial condition. The information collected on Form 10 is intended to ensure that investors in a class of Section 12-registered securities have sufficient information regarding such securities and their issuer necessary to make informed investment and voting decisions.

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Authorizing Statute(s): US Code: 15 USC 78l(b), 78l(g), 78m, 78n(a) Name of Law: Securities Exchange Act of 1934
   US Code: 15 USC 77c(b), 77f, 77g, 77j, 77s(a) Name of Law: Securities Act of 1933
   US Code: 15 USC 78n-1, 78w(a), 78mm Name of Law: Securities Exchange Act of 1934
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	90 FR 34567	07/22/2025
30-day Notice:	Federal Register Citation:	Citation Date:
	90 FR 47437	10/01/2025
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Exchange Act Form 10	SEC 1396	Form 10 - General Form For Registration Of Securities

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ICR Summary of Burden

	Total Request	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	104	216	0	0	-112	0
Annual Time Burden (Hours)	5,170	10,821	0	0	-5,651	0
Annual Cost Burden (Dollars)	9,305,712	12,851,488	0	0	-3,545,776	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The decrease in burden hours of 5,651 hours (from 10,821 to 5,170) and the decrease in cost burden of $3,545,776 (from $12,851,488 to $9,305,712) are due to changes in the number of Form 10 responses filed with the Commission. The decrease in burden hours and cost burden reflect a decrease in the number of Form 10 responses (from 216 responses to 104 responses) filed with the Commission. In addition, the decrease in the cost burden is partially offset by the Commission’s changed estimate for the cost burden per hour for outside professionals (from $400 per hour to $600 per hour).

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Annual Cost to Federal Government:

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 11/13/2025

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