Information Collection

FinCEN Form 111- Suspicious Activity Report

IC 197532 under ICR 202405-1506-005 · OMB 1506-0065.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FinCEN Report 111 Suspicious Activity Report FinCEN Form 111- Suspicious Activity Report	Form
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

IC Title:

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction				http://bsaefiling.fincen.treas.gov/main.html.	Yes	Yes	Fillable Fileable Signable
Form	FinCEN Report 111			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 .002â Suspicious Activity Report System (the ââSAR Systemââ)

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 %

table that charts list of burden
	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

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.

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