Rule 12h-1(f)

ICR 202002-3235-015

OMB: 3235-0632

Federal Form Document

Forms and Documents
Document
Name
Status
Supporting Statement A
2020-02-21
Supplementary Document
2020-02-21
Supplementary Document
2020-02-21
IC Document Collections
IC ID
Document
Title
Status
181253
Modified
ICR Details
3235-0632 202002-3235-015
Active 201611-3235-056
SEC CF 270-570
Rule 12h-1(f)
Extension without change of a currently approved collection   No
Regular
Approved without change 05/12/2020
Retrieve Notice of Action (NOA) 02/24/2020
  Inventory as of this Action Requested Previously Approved
05/31/2023 36 Months From Approved 05/31/2020
40 0 40
20 0 20
24,000 0 24,000

Rule 12h-1(f) provides an exemption from the registration requirements of the Securities Exchange Act of 1934 for compensatory employee stock options of issuers that are not required to file periodic reports under the Exchange Act and that have 500 or more option holders and more than $10 million in assets at its most recently ended fiscal year.

US Code: 15 USC 78l(h), 78w, 78mm Name of Law: Securities Exchange Act of 1934
  
None

Not associated with rulemaking

  84 FR 68263 12/13/2019
85 FR 8078 02/12/2020
No

1
IC Title Form No. Form Name
Rule 12h-1(f)

  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 40 40 0 0 0 0
Annual Time Burden (Hours) 20 20 0 0 0 0
Annual Cost Burden (Dollars) 24,000 24,000 0 0 0 0
No
No

$0
No
    No
    No
No
No
No
No
Sean Harrison 202 942-2910

  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.
02/24/2020


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