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: 3235-0318	ICR Reference No: 202107-3235-016
Status: Historical Active	Previous ICR Reference No: 202005-3235-013
Agency/Subagency: SEC	Agency Tracking No: IM-270-282
Title: Form N-4 (17 CFR 239.17b) under the Securities Act of 1933 and (17 CFR 274.11c) under the Investment Company Act of 1940, registration statement of separate accounts organized as unit investment trust
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/26/2021
	Date Received in OIRA: 08/03/2021
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2024	36 Months From Approved	05/31/2022
Responses	1,366	0	1,336
Time Burden (Hours)	292,487	0	300,937
Cost Burden (Dollars)	33,348,866	0	30,342,168

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	1,366	1,336	30
Annual Time Burden (Hours)	292,487	300,937	-8,450
Annual Cost Burden (Dollars)	33,348,866	30,342,168	3,006,698

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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: Currently, the approved total annual hour burden for preparing and filing registration statements on Form N-4 is 300,937 internal burden hours. We estimate that the new internal burden would be approximately 292,487 hours annually, reflecting a decrease of 8,450 internal burden hours associated with the amendments. The current estimate for the external annual cost burdens associated with preparing and filing initial and post-effective registration statements on Form N-4 is $30,342,168. We estimate that the new external annual cost burden would be approximately $33,348,866, reflecting an increase of $3,006,698 associated with the amendments. These estimates reflect the increase in estimated burdens associated with the amendments, adjustments to certain per filing estimates, and current estimates for the number of filings on Form N-4.

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. No

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

Agency Contact: Daniel Chang 2025516792 changd@sec.gov

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