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⚠️ Notice: This information collection may be referencing outdated material.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

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

Information Collection (IC) Details

View Information Collection (IC)

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:

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 %

	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

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.