State, Local & Tribal agencies and SROs - Security and Confidentiality Requirement for Beneficial Ownership Information

Beneficial Ownership Information Access and Safeguards

Documents and Forms

Document Name Document Type
State, Local & Tribal agencies and SROs - 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

Information Collection (IC) Details

IC Title:	State, Local & Tribal agencies and SROs - Security and Confidentiality Requirement for Beneficial Ownership Information	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:

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: 218	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	218	218
Annual IC Time Burden (Hours)	1,889,337	1,889,337
Annual IC Cost Burden (Dollars)	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.