Information Collection

Declarations of Covered Transactions

IC 233482 under ICR 202211-1505-004 · OMB 1505-0121.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form CFIUS Declaration Declarations of Covered Transactions	Form
CFIUS Declaration Declaration Submission Form for Covered Control Transact CMS-Declaration-Form 11.23.22.pdf home.treasury.gov/policy-issues/international/cfius/declaration	Form

IC Title:

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:

table that charts list of 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	CMS-Declaration-Form 11.23.22.pdf	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 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	550	550
Annual IC Time Burden (Hours)	11,000	11,000
Annual IC Cost Burden (Dollars)	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.