Information Collection

Reports by loan or finance companies of suspicious transactions

IC 195669 under ICR 202405-1506-011 · OMB 1506-0061.

Documents and Forms

Document Name Document Type
Form FinCEN Form 111 Reports by loan or finance companies of suspicious transactions Form
FinCEN Form 111 Suspicious Activity Report SARX.pdf bsaefiling.fincen.treas.gov/main.html Form
FinCEN Form 111 Suspicious Activity Report SARX.pdf bsaefiling.fincen.treas.gov/main.html Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Reports by loan or finance companies of suspicious transactions	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 31 CFR 1029.320

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FinCEN Form 111	Suspicious Activity Report	SARX.pdf	https://bsaefiling.fincen.treas.gov/main.html	Yes	Yes	Fillable Fileable

Line of Business: Law Enforcement

Subfunction: Criminal Investigation and Surveillance

Privacy Act System of Records
Title: FinCEN Privacy Act System of Records Notice	FR Citation: 79 FR 20969

Number of Respondents: 1	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	1	1
Annual IC Time Burden (Hours)	1	1
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.