Form WB-APP -Retain Counsel

Implementing The Whistleblower Provisions of Section 21F of the Securities Exchange Act of 1934 Form WB-APP and Form TCR

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3235-0686 can be found here:

Documents and Forms

Document Name Document Type
Form SEC2851 Form WB-APP -Retain Counsel Form and Instruction
SEC2851 Form WB-APP formwb-app.pdf www.sec.gov/files/formwb-app.pdf Form and Instruction
SEC2851 Form WB-APP formwb-app.pdf www.sec.gov/files/formwb-app.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Form WB-APP -Retain Counsel	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	SEC2851	Form WB-APP	formwb-app.pdf	https://www.sec.gov/files/formwb-app.pdf	No		Printable Only

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 11	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	11	5	6
Annual IC Time Burden (Hours)	44	44	0
Annual IC Cost Burden (Dollars)	17,600	12,800	4,800

Documents for IC

Title	Document	Date Uploaded
No associated records found

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