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Form for OFAC License Applications to Unblock Funds Transfers
Form for OFAC License Applications to Unblock Funds Transfers
OMB: 1505-0170
IC ID: 15203
OMB.report
TREAS/DO
OMB 1505-0170
ICR 201512-1505-001
IC 15203
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1505-0170 can be found here:
2022-07-29 - Revision of a currently approved collection
2019-09-11 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Form TD F 90-22.54
Form for OFAC License Applications to Unblock Funds Transfers
Form and Instruction
TD F 90-22.54 Application for the Release of Blocked Funds
TD F 90-22.54_Licence_6_20_2012.pdf
www.treasury.gov/resource-center/sanctions/Documents/license.pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Form for OFAC License Applications to Unblock Funds Transfers
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
31 CFR part 501 (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
TD F 90-22.54
Application for the Release of Blocked Funds
TD F 90-22.54_Licence_6_20_2012.pdf
https://www.treasury.gov/resource-center/sanctions/Documents/license.pdf
Yes
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
International Affairs and Commerce
Subfunction:
Foreign Affairs
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
2,400
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
90 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
2,400
0
0
-600
0
3,000
Annual IC Time Burden (Hours)
1,200
0
0
-300
0
1,500
Annual IC Cost Burden (Dollars)
0
0
0
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.