Information Collection

Consolidated Report of Condition and Income (Call Report) for a Bank with Domestic Offices Only

IC 234074 under ICR 201810-3064-002 · OMB 3064-0052.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3064-0052 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FFIEC 041 Consolidated Report of Condition and Income (Call Report) for a Bank with Domestic Offices Only	Form
FFIEC031and 041 Instructions Current Version September 2018.pdf	Instruction
FFIEC 041 Consolidate Report of Condition and Income (Call Report) FFIEC 041 Call Report Current Version September 2018.pdf	Form

IC Title:

Consolidated Report of Condition and Income (Call Report) for a Bank with Domestic Offices Only

Agency IC Tracking Number:

FFIEC 041

Is this a Common Form? No

IC Status: New

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	FFIEC 041	Consolidate Report of Condition and Income (Call Report) for a Bank with Domestic Offices Only	FFIEC 041 Call Report Current Version September 2018.pdf		Yes	Yes	Fillable Fileable Signable
Instruction			FFIEC031and 041 Instructions Current Version September 2018.pdf		Yes	No	Printable Only

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 856

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	3,424	3,424
Annual IC Time Burden (Hours)	178,288	178,288
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.