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pdfMLR RSF
Identifying Information
Charter Number
Bank Name
Cash Intensive Businesses
Please refer to the User Guide for instructions on how to fill out the form. Depending on the PSC, different rules may apply.
Do you have anything to report?
Total Number
Total Volume
1. Convenience Stores
0
0
2. Liquor Stores
0
0
3. Independent ATM Owners/Operators
0
0
4. Domestic Charitable Organizations
0
0
5. Jewelry, Gem & Precious Metal Dealers
0
0
6. Casinos
0
0
7. Car Dealers
0
0
Domestic Accounts
Please refer to the User Guide for instructions on how to fill out the form. Depending on the PSC, different rules may apply.
Do you have anything to report?
Total Number
Total Volume
8. Domestic Private Banking
0
0
9. Domestic Commercial Letters of Credit
0
0
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MLR RSF
10. Stand-by Letters of Credit
0
0
Domestic Customers
Please refer to the User Guide for instructions on how to fill out the form. Depending on the PSC, different rules may apply.
Do you have anything to report?
Total Number
Total Volume
0
0
0
0
13. Domestic Deposit Brokers
0
0
14. Travel Agencies
0
0
15. Broker Dealers
0
0
16. Telemarketers
0
0
17. Remotely Created Check Customers
0
0
0
0
0
0
11. Marijuana Related Businesses
12. Customers/Accounts opened through the
Internet, Mail, Wire or Phone (non-branch)
18. Domestic Remote Deposit Capture
Customers
19. Third Party Senders
Domestic Transactions
Please refer to the User Guide for instructions on how to fill out the form. Depending on the PSC, different rules may apply.
Do you have anything to report?
Total Number
20. Cash Transactions
21. Issuance of Traveler's Checks, Official Bank
Checks & Money Orders
Total Volume
0
0
0
0
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MLR RSF
0
22. Domestic Wire Transfers
0
23. PUPID Wire Transfers (Domestic and International)
PUPID Wire Transfers (Domestic and
0
0
24. ACH
0
0
25. Remotely Created Checks
0
0
26. Domestic Remote Deposit Capture
0
0
International) Total
Foreign Customers
Please refer to the User Guide for instructions on how to fill out the form. Depending on the PSC, different rules may apply.
Do you have anything to report?
Total Number
Total Volume
27. Non-Resident Alien Accounts
0
0
0
0
0
0
0
0
Charitable Orgs. (Foreign) Total
0
0
32. Import/Export
0
0
0
0
Non-Resident Alien Accounts Total
28. Politically Exposed Persons
Politically Exposed Persons Total
29. Foreign Off-Shore Corporations
Foreign Off-Shore Corporations Total
30. Foreign Deposit Brokers
Foreign Deposit Brokers Total
31. Foreign Charitable Organizations
33. Foreign/International Remote Deposit Capture
Foreign/International Remote Deposit Capture
Total
Page 3 of 7
MLR RSF
International Accounts
Please refer to the User Guide for instructions on how to fill out the form. Depending on the PSC, different rules may apply.
Do you have anything to report?
Total Number
Total Volume
34. Foreign Correspondent Accounts
0
0
0
0
0
0
0
0
0
0
0
0
International Commercial Letters of Credit Total 0
0
Foreign Correspondent Accounts Total
35. Pouch Services
Pouch Services Total
36. Foreign Bank Affiliate (e.g. Parallel Banks)
Foreign Bank Affiliate (e.g. Parallel Banks)
Total
37. International Department
International Department Total
38. International Private Banking
International Private Banking Total
39. Embassy & Consulate Banking
Embassy & Consulate Banking Total
40. International Commercial Letters of Credit
International Transactions
Please refer to the User Guide for instructions on how to fill out the form. Depending on the PSC, different rules may apply.
Do you have anything to report?
Total Number
Total Volume
41. International Bank Drafts
International Bank Drafts Total
0
0
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MLR RSF
42. International Wire Transfers
International Wire Transfers Total
0
0
0
0
0
0
43. Remittance Products
Remittance Products Total
44. Cross-Border ACH
Cross-Border ACH Total
Money Services Businesses
Please refer to the User Guide for instructions on how to fill out the form. Depending on the PSC, different rules may apply.
Do you have anything to report?
Total Number
45. Domestic Casas de Cambio/Currency
Exchange
0
Total Volume
0
46. Foreign Casas de Cambio/Currency Exchange
Foreign Casas de Cambio/Currency Exchange
0
0
47. Money Transmitters
0
0
48. Check Cashers
0
0
0
0
50. Prepaid Card Providers and Managers
0
0
51. Sellers of Prepaid Access
0
0
52. Bank-Fintech Partnerships
0
0
Total
49. Issuers or Sellers of Traveler's Checks or
Money Orders
Prepaid Cards
Please refer to the User Guide for instructions on how to fill out the form. Depending on the PSC, different rules may apply.
Do you have anything to report?
Page 5 of 7
MLR RSF
Total Number
53. Reloadable Prepaid Cards and Card
Programs
54. Non-Reloadable Prepaid Cards and Card
Programs
55. Prepaid Card Programs - Bank Sponsored
(Reloadable and Non-Reloadable)
56. Prepaid Cardholders (Reloadable and NonReloadable)
Total Volume
0
0
0
0
0
0
0
0
Trust Department / Investments / Brokered Accounts
Please refer to the User Guide for instructions on how to fill out the form. Depending on the PSC, different rules may apply.
Do you have anything to report?
Total Number
Total Volume
0
0
Foreign Charitable Trusts & Foundations Total
0
0
59. Custodial Accounts
0
0
60. Investment Advisory Accounts
0
0
61. Revocable Trusts
0
0
62. Foreign Grantor or Beneficiaries
0
0
63. Loans to Closely Held Corporations
0
0
64. Brokerage Department/Operations
0
0
65. Investment Advisory/Management
0
0
57. Domestic Charitable Trusts & Foundations
58. Foreign Charitable Trusts & Foundations
Page 6 of 7
MLR RSF
Crypto Assets
Please refer to the User Guide for instructions on how to fill out the form. Depending on the PSC, different rules may apply.
Do you have anything to report?
Total Number
Total Volume
66. Crypto-Assets Custody
0
0
67. Stablecoin Issuance
0
0
68. Stablecoin Payments
0
0
Optional Feedback
Optional: Feedback/Suggestions on ways to improve the Risk Summary Form and OCC's Money Laundering Risk System data
collection process.
In Addition, you may include pertinent information regarding your submitted data
Paperwork Reducation Act Statement:
This collection of information has been approved by the Office of Management and Budget (OMB) under control number
1557-0231 (expires XX/XX/XXXX). Under the paperwork Reduction Act, an agency may not conduct or sponsor, and a person
is not required to respond to, a collection of information unless it displays a currently a valid OMB control Number.The OCC
estimates that it will take community banks, federal branches, and agency respondents 5.5 hours to complete this form.
Page 7 of 7
| File Type | application/pdf |
| File Modified | 2025-10-03 |
| File Created | 2025-09-08 |