Information Collection

Minority Depository Institution BSA/AML Outreach

IC 234136 under ICR 201911-1557-002 · OMB 1557-0248.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1557-0248 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Minority Depository Institution BSA/AML Outreach	Form
OCC MDI BSA/AML Outreach CSM MDI BSA-AML ParticipantRspForm.pdf	Form
MDI BSA-AML Outreach Supporting Statement.docx OCC MDI BSA/AML Outreach	IC Document

IC Title:

Minority Depository Institution BSA/AML Outreach

Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

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	N/A	OCC MDI BSA/AML Outreach	CSM MDI BSA-AML ParticipantRspForm.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 51

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	51	51
Annual IC Time Burden (Hours)	5	5
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OCC MDI BSA/AML Outreach	MDI BSA-AML Outreach Supporting Statement.docx	11/26/2018

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.