Suspicious Activity Report by Money Services Business

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1506-0015 can be found here:

Documents and Forms

Document Name Document Type
Form FinCEN 109 Suspicious Activity Report by Money Services Business Form
FinCEN 109 Suspicious Activity Report by Money Services Business fin109_sarmsb.pdf www.fincen.gov/forms Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Suspicious Activity Report by Money Services Business	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 31 CFR 103.20

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FinCEN 109	Suspicious Activity Report by Money Services Business	fin109_sarmsb.pdf	www.fincen.gov/forms	Yes	No	Fillable Printable

Line of Business: Law Enforcement

Subfunction: Crime Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 637,509	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 71 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	637,509	70,700	566,809
Annual IC Time Burden (Hours)	956,264	77,864	878,400
Annual IC Cost Burden (Dollars)	0	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.