Information Collection

Bank Secrecy Act Suspicious Activity Report (BSA-SAR)

IC 197532 under ICR 201104-1506-002 · OMB 1506-0065.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1506-0065 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FinCEN Form 111 Bank Secrecy Act Suspicious Activity Report (BSA-SAR)	Form
FinCEN Form 111 Bank Secrecy Act Suspicious Activity Report (BSA-SAR) Combined SAR v36 (4-29-11).pdf bsaefiling.fincen.treas.gov/main.html	Form
U-SAR 2011 83Isupp.doc BSA-SAR Supplemental Report	IC Document

IC Title:

Bank Secrecy Act Suspicious Activity Report (BSA-SAR)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 31 CFR Chapter X (To search for a specific CFR, visit the Code of Federal Regulations.)

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	FinCEN Form 111	Bank Secrecy Act Suspicious Activity Report (BSA-SAR)	Combined SAR v36 (4-29-11).pdf	http://bsaefiling.fincen.treas.gov/main.html	Yes	Yes	Fillable Fileable

Line of Business: Law Enforcement

Subfunction: Criminal Investigation and Surveillance

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 83,455

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 65 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,335,280	1,335,280
Annual IC Time Burden (Hours)	2,670,560	2,670,560
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
BSA-SAR Supplemental Report	U-SAR 2011 83Isupp.doc	04/29/2011

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.