View Information Collection Request (ICR) Package

Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 3235-0362	ICR Reference No: 201111-3235-006
Status: Historical Active	Previous ICR Reference No: 201010-3235-026
Agency/Subagency: SEC	Agency Tracking No: CF 270-323
Title: Form 5 - Annual Statement of Beneficial Ownership
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/12/2011
	Date Received in OIRA: 11/17/2011
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2014	01/31/2014	01/31/2014
Responses	4,600	0	9,000
Time Burden (Hours)	4,600	0	9,000
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	4,600	9,000	-4,400
Annual Time Burden (Hours)	4,600	9,000	-4,400
Annual Cost Burden (Dollars)	0	0	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 staff is re-estimating the number of responses to this form to make it consistent with the EDGAR filing record. No substantive or material changes are being made to this information collection. The SEC received approximately 4,600 Form 5 filings in calendar year 2010, a decrease of 4,400 responses, resulting in a decrease of 4,400 annual burden hours.

Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.