Suspicious Activity Report by Insurance Companies

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Form 108 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

Information Collection (IC) Details

View Information Collection (IC)

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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	108	Suspicious Activity Report by Insurance Companies	fin101_sar-sf.pdf	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 %

	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

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.