Information Collection

Cuban Remittance Affidavit

IC 15193 under ICR 201406-1505-001 · OMB 1505-0167.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1505-0167 can be found here:

Documents and Forms

Document Name Document Type
Form TD F 90-22.52 Cuban Remittance Affidavit Form and Instruction
TD F 90-22.52 Cuban Remittance Affidavit CUBAN REMITTANCE AFFIDAVIT DRAFT 082114KCW.pdf www.treasury.gov/resource-center/sanctions/Programs/Documents/caffidav.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Cuban Remittance Affidavit	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 31 CFR 515

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	TD F 90-22.52	Cuban Remittance Affidavit	CUBAN REMITTANCE AFFIDAVIT DRAFT 082114KCW.pdf	http://www.treasury.gov/resource-center/sanctions/Programs/Documents/caffidav.pdf	Yes	No	Fillable Printable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,000,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	6,000,000	6,000,000
Annual IC Time Burden (Hours)	100,000	100,000
Annual IC Cost Burden (Dollars)	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.