Information Collection Request

FinCEN Form 111 - Suspicious Activity Report

ICR 202405-1506-005 · OMB 1506-0065 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form FinCEN Report 111 Suspicious Activity Report Form Modified Available
SAR Supporting Statement 5_30_2024 FINAL.docx Supporting Statement A Uploaded 2024-05-30 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
197532 FinCEN Form 111- Suspicious Activity Report Form ModifiedSuspicious Activity Report
197532 FinCEN Form 111- Suspicious Activity Report Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
03/31/2027 36 Months From Approved 09/30/2024
4,367,197 0 2,751,694
8,647,050 0 5,462,026
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
FinCEN Form 111- Suspicious Activity Report FinCEN Report 111

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 4,367,197 2,751,694 0 0 1,615,503 0
Annual Time Burden (Hours) 8,647,050 5,462,026 0 0 3,185,024 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No