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

Documents and Forms

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 Form 110 Designation of Exempt Persons Report DOEP 2018.pdf bsaefiling.fincen.treas.gov/docs/XMLUserGuide_FinCENDOEP.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

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

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 “BSA System”)—Treasury/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 %

	Requested	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

Title	Document	Date Uploaded
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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.