Disclosure and Retention of Certain Information Relating to Cleared Swaps Customer Collateral

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Information Collection (IC) Details

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IC Title:	Disclosure and Retention of Certain Information Relating to Cleared Swaps Customer Collateral	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 17 CFR 22.17 17 CFR 22.5(a) 17 CFR 22.12 17 CFR 22.11 17 CFR 22.2(g) 17 CFR 22.16

Information Collection Instruments:

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

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 75	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	112,440	15	112,425
Annual IC Time Burden (Hours)	25,061	11	25,050
Annual IC Cost Burden (Dollars)	0	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.