FinCEN Form 111- Suspicious Activity Report

FinCEN Form 111 - Suspicious Activity Report

Documents and Forms

Document Name Document Type
XMLUserGuide_FinCENSAR.pdf bsaefiling.fincen.treas.gov/main.html. Instruction
XMLUserGuide_FinCENSAR.pdf bsaefiling.fincen.treas.gov/main.html. Instruction
FinCEN Report 111 Suspicious Activity Report SARX.pdf bsaefiling.fincen.treas.gov/main.html Form
FinCEN Report 111 Suspicious Activity Report SARX.pdf bsaefiling.fincen.treas.gov/main.html Form

Information Collection (IC) Details

IC Title:	FinCEN Form 111- Suspicious Activity Report	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 31 CFR 1021.320 31 CFR 1022.320 31 CFR 1023.320 31 CFR 1020.320 31 CFR 1024.320 31 CFR 1025.320 31 CFR 1026.320 31 CFR 1029.320

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			XMLUserGuide_FinCENSAR.pdf	http://bsaefiling.fincen.treas.gov/main.html.	Yes	Yes	Fillable Fileable Signable
Form	FinCEN Report 111	Suspicious Activity Report	SARX.pdf	http://bsaefiling.fincen.treas.gov/main.html	Yes	Yes	Fillable Fileable Signable

Line of Business: Law Enforcement

Subfunction: Criminal Investigation and Surveillance

Privacy Act System of Records
Title: Treasury/FinCEN .002— Suspicious Activity Report System (the ‘‘SAR System’’)	FR Citation: 79 FR 20969

Number of Respondents: 11,458	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	4,367,197	1,615,503	2,751,694
Annual IC Time Burden (Hours)	8,647,050	3,185,024	5,462,026
Annual IC Cost Burden (Dollars)	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.