17 CFR 146.10 - Information supplied by the Commission when collecting information from an individual.
(a) The authority (whether granted by statute, or by executive order of the President) which authorizes the solicitation of the information and whether disclosure of such information is mandatory or voluntary;
(b) The principal purpose or purposes for which the information is intended to be used;
(c) The routine uses which may be made of the information, as published in the Federal Register; and
(d) The effects on him, if any, of not providing all or any part of the requested information.