Upon renewal,
agency will include a PRA and Privacy Statement on the instrument,
whether paper or electronic.
Inventory as of this Action
Requested
Previously Approved
04/30/2018
36 Months From Approved
04/30/2015
1
0
1
1
0
1
0
0
0
31 CFR 1025.320 requires insurance
companies to report suspicious activities to the Financial Crimes
Enforcement Network. FinCEN Form 111 is an aid to this required
reporting providing the filer with a guide in completing this
reporting requirement. The form is used by criminal investigators,
and taxation and regulatory enforcement authorities, during the
course of investigations involving financial crimes. This action
renews the regulation only.
On behalf of this Federal agency, I certify that
the collection of information encompassed by this request complies
with 5 CFR 1320.9 and the related provisions of 5 CFR
1320.8(b)(3).
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a
benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control
number;
If you are unable to certify compliance with any of
these provisions, identify the item by leaving the box unchecked
and explain the reason in the Supporting Statement.