Information Collection

Risk Assessment Form

IC 20141 under ICR 201005-1557-002 · OMB 1557-0231.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1557-0231 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Risk Assessment Form	Form and Instruction
BSA/AML Quantity of Risk Summary Form BSA-AML Form.pdf	Form and Instruction

IC Title:

Risk Assessment Form

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

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 and Instruction	N/A	BSA/AML Quantity of Risk Summary Form	BSA-AML Form.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,467

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	1,467	1,467
Annual IC Time Burden (Hours)	8,802	8,802
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.