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

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Documents and Forms

Document Name Document Type
Form SEC 2125 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 Form
SEC 2125 Form N-4 formn-4.pdf www.sec.gov/about/forms/formn-4.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC 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	Agency IC Tracking Number:	270-282

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 17 CFR 274.11c 17 CFR 239.17b

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SEC 2125	Form N-4	formn-4.pdf	http://www.sec.gov/about/forms/formn-4.pdf	Yes	Yes	Fillable Fileable Signable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,251	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,251	-213	1,464
Annual IC Time Burden (Hours)	256,835	-40,389	297,224
Annual IC Cost Burden (Dollars)	26,609,241	-2,819,039	29,428,280

Documents for IC

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.