Form N-4 (17 CFR 239.17b) under the Securities Act of 1933 and (17 CFR 274.11c) under the Investment Company Act of 1940, registration statement of separate accounts organized as unit investment trust

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3235-0318 can be found here:

Documents and Forms

Document Name Document Type
Form SEC2125 Form N-4 (17 CFR 239.17b) under the Securities Act of 1933 and (17 CFR 274.11c) under the Investment Company Act of 1940, registration statement of separate accounts organized as unit investment trust Form
SEC2125 N-4 formn-4.pdf www.sec.gov/about/forms/formn-4.pdf Form
SEC2125 N-4 formn-4.pdf www.sec.gov/about/forms/formn-4.pdf Form
EDGAR PIA 2016.pdf Edgar PIA IC Document
EDGAR PIA 2016.pdf Edgar PIA IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Form N-4 (17 CFR 239.17b) under the Securities Act of 1933 and (17 CFR 274.11c) under the Investment Company Act of 1940, registration statement of separate accounts organized as unit investment trust	Agency IC Tracking Number:	270-282

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 17 CFR 239.17b 17 CFR 274.11c

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SEC2125	N-4	formn-4.pdf	http://www.sec.gov/about/forms/formn-4.pdf	Yes	Yes	Fillable Fileable Signable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 418	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	418	-948	1,366
Annual IC Time Burden (Hours)	298,757	6,270	292,487
Annual IC Cost Burden (Dollars)	33,556,194	207,328	33,348,866

Documents for IC

Title	Document	Date Uploaded
Edgar PIA	EDGAR PIA 2016.pdf	02/08/2019

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