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Declarations of Covered Transactions
Provisions Pertaining to Mergers, Acquisitions and Takeovers by Foreign Persons
OMB: 1505-0121
IC ID: 233482
OMB.report
TREAS/DO
OMB 1505-0121
ICR 202008-1505-003
IC 233482
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1505-0121 can be found here:
2022-11-30 - Extension without change of a currently approved collection
2021-05-17 - No material or nonsubstantive change to a currently approved collection
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:
Unchanged
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
Federal Enterprise Architecture Business Reference Module
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
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
550
0
0
0
0
550
Annual IC Time Burden (Hours)
11,000
0
0
0
0
11,000
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.