Information Collection

Bank Secrecy Act Suspicious Activity Report (BSA-SAR)

IC 197532 under ICR 201710-1506-002 · OMB 1506-0065.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1506-0065 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FinCEN 111 BSA Suspicious Activity Repoprt Bank Secrecy Act Suspicious Activity Report (BSA-SAR)	Form
SAR Line item instructions 8-25-2017 V12.docx	Instruction
FinCEN 111 BSA Suspicious Activity Repoprt SARX_Discrete.pdf bsaefiling.fincen.treas.gov/main.html	Form

IC Title:

Bank Secrecy Act Suspicious Activity Report (BSA-SAR)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 31 CFR 1010.320, 1020.320, 1021.320,

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	FinCEN 111			https://bsaefiling.fincen.treas.gov/main.html	Yes	Yes	Fillable Fileable
Instruction					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: 84,655

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	2,019,022	376,862	1,642,160
Annual IC Time Burden (Hours)	4,038,044	753,724	3,284,320
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.

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