Information Collection

Form for OFAC License Applications to Unblock Funds Transfers

IC 15203 under ICR 201512-1505-001 · OMB 1505-0170.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1505-0170 can be found here:

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

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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	2,400	-600	3,000
Annual IC Time Burden (Hours)	1,200	-300	1,500
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.