Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Form N-3 (17 CFR 239.17a) under the Securities Act of 1933 and (17 CFR 274.11b) under the Investment Company Act of 1940. Registration Statement of Separate Accounts Organized as Management Investment Modified 8 2836 123114 Form and Instruction Form 2124
Total burden requested under this ICR: 8 2836 123114  
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