Form ADV-H

Form ADV-H under the Investment Advisers Act of 1940

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3235-0538 can be found here:

Documents and Forms

Document Name Document Type
Form SEC-2566 Form ADV-H Form
SEC-2566 ADV-H formadv-h.pdf www.sec.gov/about/forms/formadv-h.pdf Form
IARD PIA_Redacted 1 1 09.pdf Investment Adviser Records Systems of Records Notice IC Document
secsorn50.pdf SEC SORN 50 IC Document

Information Collection (IC) Details

IC Title:	Form ADV-H	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 17 CFR 279.3 17 CFR 275.203-3

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SEC-2566	ADV-H	formadv-h.pdf	http://www.sec.gov/about/forms/formadv-h.pdf	Yes	No	Printable Only

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title: Investment Advisor Records	FR Citation: 66 FR 7820

Number of Respondents: 16	Number of Respondents for Small Entity: 1

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

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	16	13	3
Annual IC Time Burden (Hours)	16	13	3
Annual IC Cost Burden (Dollars)	3,504	3,504	0

Documents for IC

Title	Document	Date Uploaded
Investment Adviser Records Systems of Records Notice	IARD PIA_Redacted 1 1 09.pdf	04/16/2014
SEC SORN 50	secsorn50.pdf	09/22/2017

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