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OMB Control No: 3235-0362	ICR Reference No: 202603-3235-014
Status: Received in OIRA	Previous ICR Reference No: 202602-3235-004
Agency/Subagency: SEC	Agency Tracking No: CF
Title: Form 5 - Annual Statement of Beneficial Ownership
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: Yes
Type of Review Request: Regular	Date Submitted to OIRA: 06/22/2026

	Requested	Previously Approved
Expiration Date	36 Months From Approved	08/31/2026
Responses	2,724	7,113
Time Burden (Hours)	2,724	7,113
Cost Burden (Dollars)	0	0

ICR Summary of Burden

	Total Request	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	2,724	7,113	-4,389
Annual Time Burden (Hours)	2,724	7,113	-4,389
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 decrease in annual burden hours of 4,389 hours is due to a decrease in the estimated number of annual responses (from 7,113 to 2,724).

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

Agency Contact: Pearl Crawley 202 551-3256 crawleyp@sec.gov

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