Information Collection

Bank Secrecy Act Suspicious Activity Report (BSA-SAR)

IC 197532 under ICR 201301-1506-003 · 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⚠️ Notice: This information collection may be referencing outdated material.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 111 Bank Secrecy Act Suspicious Activity Report (BSA-SAR) Form and Instruction
FinCEN 111 FinCEN Suspicious Activity Report FinCEN SAR.pdf bsaefiling.fincen.treas.gov/main.html Form and Instruction

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: Modified

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 and Instruction	FinCEN 111	FinCEN Suspicious Activity Report	FinCEN SAR.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: 84,655	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: 93 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,642,160	306,880	1,335,280
Annual IC Time Burden (Hours)	3,284,320	613,760	2,670,560
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.