Information Collection

Minority Depository Institution BSA/AML Outreach

IC 259881 under ICR 202304-1557-003 · OMB 1557-0248.

Documents and Forms

Document Name Document Type
Minority Depository Institution BSA/AML Outreach Form
Minority Depository Institution BSA/AML Outreach Form
OCC MDI BSA/AML Outreach CSM MDI BSA-AML ParticipantRspForm.pdf 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
MDI BSA-AML Outreach Supporting Statement.docx OCC MDI BSA/AML Outreach IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Minority Depository Institution BSA/AML Outreach	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection 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 %

	Requested	Program Change Due to Agency Discretion
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

Title	Document	Date Uploaded
OCC MDI BSA/AML Outreach	MDI BSA-AML Outreach Supporting Statement.docx	04/26/2023

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