Financial Crimes Enforcement Network (FinCEN) FIF Notes Value Survey

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1506-0062 can be found here:

Documents and Forms

Document Name Document Type
FinCEN Financial Industry Feedback.docx www.surveymonkey.com/r/Preview/?sm=fHFBKglCah_2Bw88buecZamh9KbINtP1Si32xuSkUduMDwtwp37pzKikQTxY7fFU1pxkef8SKZZhSyYFFMJ5p Other-Survey
1505-0062_gen_IC_approval_request_20161003.docx FinCEN Financial Industry Feedback Survey Request IC Document

Information Collection (IC) Details

IC Title:	Financial Crimes Enforcement Network (FinCEN) FIF Notes Value Survey	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

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
Other-Survey			FinCEN Financial Industry Feedback.docx	https://www.surveymonkey.com/r/Preview/?sm=fHFBKglCah_2Bw88buecZamh9KbINtP1Si32xuSkUduMDwtwp37pzKikQTxY7fFU1pxkef8SKZZhSyYFFMJ5pwL4hr_2BNyMvmTylW6YKzHm11zTJaPYwsNwrMfS_2BAnzI_2FYv	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: 400	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	400	400
Annual IC Time Burden (Hours)	67	67
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
FinCEN Financial Industry Feedback Survey Request	1505-0062_gen_IC_approval_request_20161003.docx	10/04/2016

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