Provisions Pertaining to Mergers, Acquisitions and Takeovers by Foreign Persons

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
CMS Notice Form	Form and Instruction	Modified	Repair queued
Notices of Covered Transactions	Form and Instruction	Modified	Repair queued
Form CFIUS Real Estate CMS Real Estate Declaration Form	Form	Modified	Repair queued
Form CFIUS Real Estate Declarations of Covered Real Estate Transactions	Form	Modified	Repair queued
Real Estate Notice Form	Form and Instruction	Modified	Repair queued
Notices of Covered Real Estate Transactions	Form and Instruction	Modified	Repair queued
Form CFIUS Declaration Declaration Submission Form for Covered Control Transactions and Covered Investments Under 31 C.F.R. Part 800	Form	Modified	Available
Form CFIUS Declaration Declarations of Covered Transactions	Form	Modified	Repair queued
1505-0121 Non-substantive change request_CFIUS CMS 2021-05-17.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2021-05-17	Repair queued
CFIUS Case Management Portal Screenshots 2020-05-12.docx	Supplementary Document	Uploaded 2020-05-14	Repair queued
1505-0121 SS CFIUS Web Portal 11.29.22.docx	Supporting Statement A	Uploaded 2022-11-29	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
43825	Notices of Covered Transactions	Form and Instruction	Modified	CMS Notice Form
43825	Notices of Covered Transactions	Form and Instruction	Modified
237869	Declarations of Covered Real Estate Transactions	Form	Modified	CMS Real Estate Declaration Form
237869	Declarations of Covered Real Estate Transactions	Form	Modified
237868	Notices of Covered Real Estate Transactions	Form and Instruction	Modified	Real Estate Notice Form
237868	Notices of Covered Real Estate Transactions	Form and Instruction	Modified
233482	Declarations of Covered Transactions	Form	Modified	Declaration Submission Form for Covered Control Transactions and Covered Investments Under 31 C.F.R. Part 800
233482	Declarations of Covered Transactions	Form	Modified

ICR Details

OMB Control No: 1505-0121	ICR Reference No: 202211-1505-004
Status: Active	Previous ICR Reference No: 202105-1505-003
Agency/Subagency: TREAS/DO	Agency Tracking No:
Title: Provisions Pertaining to Mergers, Acquisitions and Takeovers by Foreign Persons
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/15/2024
Retrieve Notice of Action (NOA)	Date Received in OIRA: 11/30/2022
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2027	36 Months From Approved	02/29/2024
Responses	1,100	0	1,100
Time Burden (Hours)	57,400	0	57,400
Cost Burden (Dollars)	0	0	0

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Abstract: Treasury disseminates to other agencies that are members of the Committee on Foreign Investment in the United States information collected under the regulations from parties involved in certain foreign acquisitions of a U.S. company, investment or real estate in order to do a national security analysis of the acquisition.

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Authorizing Statute(s): PL: Pub.L. 115 - 232 Subtitle A Name of Law: Foreign Investment Risk Review Modernization Act of 2018
   PL: Pub.L. 100 - 49 721 Name of Law: Foreign Investment and National Security Act of 2007
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 56752	09/15/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 72592	11/25/2022
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 4

table that charts list of burden

IC Title	Form No.	Form Name
Declarations of Covered Real Estate Transactions	CFIUS Real Estate Declaration Form	CMS Real Estate Declaration Form
Declarations of Covered Transactions	CFIUS Declaration Form	Declaration Submission Form for Covered Control Transactions and Covered Investments Under 31 C.F.R. Part 800
Notices of Covered Real Estate Transactions	N/A	Real Estate Notice Form
Notices of Covered Transactions	N/A	CMS Notice Form

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	1,100	1,100	0	0	0	0
Annual Time Burden (Hours)	57,400	57,400	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $25,900,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 11/30/2022

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