Information Collection

Financial Institutions - Security and Confidentiality Requirement for Beneficial Ownership Information

IC 257396 under ICR 202406-1506-002 · OMB 1506-0077.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Financial Institutions - Security and Confidentiality Requirement for Beneficial Ownership Information	Form
Beneficial Ownership Information Request Beneficial Ownership Information Request Form.docx	Form
Beneficial Ownership Information Request Beneficial Ownership Information Request Form.docx	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 31 CFR 1010.955

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	N/A	Beneficial Ownership Information Request	Beneficial Ownership Information Request Form.docx		Yes	Yes	Fillable Fileable Signable

Line of Business: Law Enforcement

Subfunction: Criminal Investigation and Surveillance

Privacy Act System of Records

Title: Treasury/FinCEN .004

FR Citation: 88 FR 62889

Number of Respondents: 15,716

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
	Approved	Previously Approved
Annual Number of Responses for this IC	15,716	15,716
Annual IC Time Burden (Hours)	3,436,566	3,436,566
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.