Information Collection

Suspicious Activity Report by Insurance Companies

IC 15337 under ICR 200903-1506-001 · OMB 1506-0029.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1506-0029 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 108 Suspicious Activity Report by Insurance Companies Suspicious Activity Report by Insurance Companies	Form
108 Suspicious Activity Report by Insurance Companies fin101_sar-sf.pdf www.fincen.gov/forms/files/fin101_sar-sf.pdf	Form

IC Title:

Suspicious Activity Report by Insurance Companies

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 31 CFR 130.16

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	108			http://www.fincen.gov/forms/files/fin101_sar-sf.pdf	Yes	Yes	Fillable Printable

Line of Business: Law Enforcement

Subfunction: Criminal Investigation and Surveillance

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,200

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	3,600	3,600
Annual IC Time Burden (Hours)	14,400	14,400
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.

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