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Non-index Filings
Hart-Scott-Rodino (Premerger Notification) Rules and Report Form
OMB: 3084-0005
IC ID: 42609
OMB.report
FTC
OMB 3084-0005
ICR 202411-3084-001
IC 42609
( )
Documents and Forms
Document Name
Document Type
Form C4
Non-index Filings
Form
hsr_form_instructions_9-25-19.pdf
www.ftc.gov/system/files/attachments/form-instructions/hsr_form_instructions_9-25-19.pdf
Instruction
hsr_form_instructions_9-25-19.pdf
www.ftc.gov/system/files/attachments/form-instructions/hsr_form_instructions_9-25-19.pdf
Instruction
C4 Notification and Form for Certain Mergers and Acquisitio
hsr_form_ver_102_-_01-02-17_0.pdf
www.ftc.gov/system/files/attachments/form-instructions/hsr_form_ver_102_-_01-02-17_0.pdf
Form
C4 Notification and Form for Certain Mergers and Acquisitio
hsr_form_ver_102_-_01-02-17_0.pdf
www.ftc.gov/system/files/attachments/form-instructions/hsr_form_ver_102_-_01-02-17_0.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Non-index Filings
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Unchanged
Obligation to Respond:
Mandatory
CFR Citation:
16 CFR 803
16 CFR 802
16 CFR 801
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
C4
Notification and Form for Certain Mergers and Acquisitions
hsr_form_ver_102_-_01-02-17_0.pdf
https://www.ftc.gov/system/files/attachments/form-instructions/hsr_form_ver_102_-_01-02-17_0.pdf
Yes
Yes
Fillable Fileable Signable
Instruction
hsr_form_instructions_9-25-19.pdf
https://www.ftc.gov/system/files/attachments/form-instructions/hsr_form_instructions_9-25-19.pdf
No
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Economic Development
Subfunction:
Business and Industry Development
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
7,096
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
20 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
7,096
0
0
0
0
7,096
Annual IC Time Burden (Hours)
262,552
0
0
0
0
262,552
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
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.
