Information Collection Request

Suspicious Activity Report by Money Services Business

ICR 201109-1506-001 · OMB 1506-0015 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form FinCEN Form 111 Bank Secrecy Act Suspicious Activity Report Form Modified Available
SAR-MSB_supporting_30_Day_Notice00808[1][1].doc Supporting Statement A Uploaded 2011-12-21 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
15311 Bank Secrecy Act Suspicious Activity Report Form Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
12/31/2014 01/31/2013
1 0 0
1 0 0
0 0 0





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1
table that charts list of burden
IC Title Form No. Form Name
Bank Secrecy Act Suspicious Activity Report FinCEN Form 111 Bank Secrecy Act Suspicious Activity Report

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 1 0 0 1 0 0
Annual Time Burden (Hours) 1 0 0 1 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No