Information Collection

Comprehensive Iran Sanctions, Accountability, and Divestment Act of 2010 (Model Certification)

IC 199630 under ICR 201409-1506-001 · OMB 1506-0066.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1506-0066 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Appendix A 31 CFR Comprehensive Iran Sanctions, Accountability, and Divestment Act of 2010 (Model Certification)	Form
Appendix A 31 CFR CISADA Certification CISADA 2014 Certification.doc www.fincen.gov/	Form

IC Title:

Comprehensive Iran Sanctions, Accountability, and Divestment Act of 2010 (Model Certification)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 31 CFR 1060.300

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	Appendix A 31 CFR 1060.300	CISADA Certification	CISADA 2014 Certification.doc	www.fincen.gov/	Yes	No	Paper Only

Line of Business: Law Enforcement

Subfunction: Criminal Investigation and Surveillance

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 350

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	900	450	450
Annual IC Time Burden (Hours)	2,700	1,287	1,413
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
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.