Information Collection

Declarations of Covered Transactions

IC 233482 under ICR 202001-1505-002 · OMB 1505-0121.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1505-0121 can be found here:

Documents and Forms

Document Name Document Type
Form CFIUS Declaration Declarations of Covered Transactions Form
CFIUS Declaration Declaration Submission Form for Covered Control Transact Part 800 Declaration Form.docx home.treasury.gov/policy-issues/international/cfius/declaration Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Declarations of Covered Transactions	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 31 CFR 800

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	CFIUS Declaration Form	Declaration Submission Form for Covered Control Transactions and Covered Investments Under 31 C.F.R. Part 800	Part 800 Declaration Form.docx	https://home.treasury.gov/policy-issues/international/cfius/declaration	Yes	Yes	Fillable Fileable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 550	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to New Statute	Previously Approved
Annual Number of Responses for this IC	550	300	250
Annual IC Time Burden (Hours)	11,000	6,000	5,000
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.