Information Collection

Form for OFAC License Applications to Unblock Funds Transfers

IC 15203 under ICR 201906-1505-002 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
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

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:

table that charts list of 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: 3,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 90 %

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