Suspicious Activity Report by Depository Institutions

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1506-0001 can be found here:

Documents and Forms

Document Name Document Type
Form FinCEN 111 Suspicious Activity Report by Depository Institutions Form
FinCEN 111 SAR-DI SAR-DI (6-29-06a).pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Suspicious Activity Report by Depository Institutions	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FinCEN 111	SAR-DI	SAR-DI (6-29-06a).pdf		Yes	Yes	Fillable Printable

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 27,282	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 65 %

	Approved	Previously Approved
Annual Number of Responses for this IC	399,848	399,848
Annual IC Time Burden (Hours)	799,696	799,696
Annual IC Cost Burden (Dollars)	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.