Information Collection

Transactions of Exempt Persons Regulations, and FinCEN Form 110-Designation of Exempt Persons (DOEP) Report

IC 15300 under ICR 202410-1506-001 · OMB 1506-0012.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FinCEN 110 Transactions of Exempt Persons Regulations, and FinCEN Form 110-Designation of Exempt Persons (DOEP) Report	Form and Instruction
FinCEN 110 Designation of Exempt Person DOEP.pdf bsaefiling.fincen.treas.gov/main.html	Form and Instruction
FinCEN 110 Designation of Exempt Person DOEP.pdf bsaefiling.fincen.treas.gov/main.html	Form and Instruction
FinCEN Form 110 Designation of Exempt Persons Report DOEP 2018.pdf bsaefiling.fincen.treas.gov/docs/XMLUserGuide_FinCENDOEP.pdf	Form
FinCEN Form 110 Designation of Exempt Persons Report DOEP 2018.pdf bsaefiling.fincen.treas.gov/docs/XMLUserGuide_FinCENDOEP.pdf	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 31 CFR 1020.315

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 and Instruction	FinCEN 110	Designation of Exempt Person	DOEP.pdf	http://bsaefiling.fincen.treas.gov/main.html	Yes	Yes	Fillable Fileable Signable
Form	FinCEN Form 110	Designation of Exempt Persons Report	DOEP 2018.pdf	https://bsaefiling.fincen.treas.gov/docs/XMLUserGuide_FinCENDOEP.pdf	Yes	Yes	Fillable Fileable

Line of Business: Law Enforcement

Subfunction: Crime Prevention

Privacy Act System of Records

Title: Bank Secrecy Act Reports System (the âBSA Systemâ)âTreasury/FinCEN.

FR Citation: 79 FR 20969

Number of Respondents: 10,062

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	15,105	-3,036	18,141
Annual IC Time Burden (Hours)	15,105	-3,036	18,141
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.