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Bank Secrecy Act Suspicious Activity Report (BSA-SAR)
Bank Secrecy Act Suspicious Activity Report (BSA-SAR)
OMB: 1506-0065
IC ID: 197532
OMB.report
TREAS/FINCEN
OMB 1506-0065
ICR 201710-1506-002
IC 197532
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1506-0065 can be found here:
2024-05-31 - Extension without change of a currently approved collection
2020-07-30 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
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
Information Collection (IC) Details
View Information Collection (IC)
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:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Instruction
SAR Line item instructions 8-25-2017 V12.docx
Yes
Yes
Fillable Fileable
Form
FinCEN 111
BSA Suspicious Activity Repoprt
SARX_Discrete.pdf
https://bsaefiling.fincen.treas.gov/main.html
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
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 %
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
2,019,022
0
376,862
0
0
1,642,160
Annual IC Time Burden (Hours)
4,038,044
0
753,724
0
0
3,284,320
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.