Rule 147(f)(1)(iii) Written Representation as to Purchaser Residency

ICR 201701-3235-005

OMB: 3235-0756

Federal Form Document

Forms and Documents
Document
Name
Status
Supplementary Document
2017-02-06
Supporting Statement A
2017-01-19
IC Document Collections
ICR Details
3235-0756 201701-3235-005
Historical Active
SEC CF-270-805
Rule 147(f)(1)(iii) Written Representation as to Purchaser Residency
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 03/03/2017
Retrieve Notice of Action (NOA) 02/01/2017
  Inventory as of this Action Requested Previously Approved
03/31/2020 36 Months From Approved
700 0 0
1,925 0 0
70,000 0 0

Rule 147 is a safe harbor under the Securities Act Section 3(a)(11) exemption from registration. To qualify for the safe harbor, Rule 147(f)(1)(iii) (17 CFR 230.147) will require the issuer to obtain from the purchaser a written representation as to the purchaser's residency.

US Code: 15 USC 77c(b)(1), 77s, 77z-3 Name of Law: Securities Act of 1933
   US Code: 15 USC 78l, 78m, 78o, 78w(a), 78mm Name of Law: Securities Exchange Act of 1934
   US Code: 15 USC 80a-37(a) Name of Law: Investment Company Act of 1940
   US Code: 15 USC 80b-11(a) Name of Law: Investment Advisers Act of 1940
  
None

Not associated with rulemaking

  81 FR 83494 11/21/2016
82 FR 8962 02/01/2017
No

1
IC Title Form No. Form Name
Rule 147(f)(1)(iii) Written Representation as to Purchaser Residency

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 700 0 0 700 0 0
Annual Time Burden (Hours) 1,925 0 0 1,925 0 0
Annual Cost Burden (Dollars) 70,000 0 0 70,000 0 0
Yes
Changing Regulations
No
This collection of information is contained in the final rule amendments to Rule 147. The Commission has not previously sought OMB approval of a collection of information for Rule 147. For purposes of the PRA, we estimate that the total annual paperwork burden for all affected issuers arising from the collection of information requirement in Rule 147 will be approximately 175 hours of issuer (company) personnel time and approximately $70,000 for the services of outside professionals. In addition, we estimate that the total annual paperwork burden for all affected purchasers arising from the collection of information requirement in Rule 147 will be approximately 1,750 hours of purchaser time and no cost incurred for the services of outside professionals.

$150,000
No
No
No
No
No
Uncollected
Jennifer Riegel 202 551-3575

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
02/01/2017


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