Information Collection

FR Y-3N Sections 3(a)(1), 3(a)(3), and 3(a)(5)

IC 183235 under ICR 201807-7100-012 · OMB 7100-0121.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 7100-0121 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FR Y-3N FR Y-3N Sections 3(a)(1), 3(a)(3), and 3(a)(5)	Form
FRY3N_20150331_i.pdf www.federalreserve.gov/apps/reportforms/default.aspx	Instruction
FRY3N_20180731_i_draft.pdf www.federalreserve.gov/apps/reportforms/default.aspx	Other-Draft Instruction
FR Y-3N Notification to Become a Bank Holding Company and/or Acq FRY3N_20150331_f.pdf www.federalreserve.gov/apps/reportforms/default.aspx	Form

IC Title:

FR Y-3N Sections 3(a)(1), 3(a)(3), and 3(a)(5)

Agency IC Tracking Number:

FR Y-3N

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FR Y-3N	Notification to Become a Bank Holding Company and/or Acquire an Additional Bank or Bank Holding Company	FRY3N_20150331_f.pdf	https://www.federalreserve.gov/apps/reportforms/default.aspx	Yes	Yes	Fillable Fileable Signable
Instruction			FRY3N_20150331_i.pdf	https://www.federalreserve.gov/apps/reportforms/default.aspx	Yes	Yes	Fillable Fileable Signable
Other-Draft Instruction			FRY3N_20180731_i_draft.pdf	https://www.federalreserve.gov/apps/reportforms/default.aspx	Yes	Yes	Fillable Fileable Signable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 26

Number of Respondents for Small Entity: 13

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 80 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	26	26
Annual IC Time Burden (Hours)	130	130
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.