Rule 17a-3(24), Record of Date Form CRS Provided to Each Customer and Prospective Customer

Rule 17a-3; Records to be Made by Certain Exchange Members, Brokers and Dealers

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Documents and Forms

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Information Collection (IC) Details

IC Title:	Rule 17a-3(24), Record of Date Form CRS Provided to Each Customer and Prospective Customer	Agency IC Tracking Number:	TM-240-026

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 17 CFR 249.640 17 CFR 240.17a-3(24) 17 CFR 240.17a-14

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,766	Number of Respondents for Small Entity: 756

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	2,766	2,766
Annual IC Time Burden (Hours)	1,383	1,383
Annual IC Cost Burden (Dollars)	0	0

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.