Information Collection

Suspicious Activity Report by Securities and Futures Industries and 31 CFR 103 17(d) and 103.19(d)

IC 39059 under ICR 200605-1506-009 · OMB 1506-0019.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1506-0019 can be found here:

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Information Collection (IC) Details

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IC Title:	Suspicious Activity Report by Securities and Futures Industries and 31 CFR 103 17(d) and 103.19(d)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	101				Yes	Yes

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10,700	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 20 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	8,000	2,400	5,600
Annual IC Time Burden (Hours)	28,800	12,000	16,800
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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