Information Collection

Consolidated Reports of Condition and Income for a Bank with Domestic Offices Only

IC 234067 under ICR 201811-7100-008 · OMB 7100-0036.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 7100-0036 can be found here:

Documents and Forms

Document Name Document Type
Form FFIEC 041 Consolidated Reports of Condition and Income for a Bank with Domestic Offices Only Form
FFIEC031_FFIEC041_201809_i.pdf www.ffiec.gov/ffiec_report_forms.htm Instruction
FFIEC031_FFIEC041_FFIEC051_suppinst_201809.pdf www.ffiec.gov/ffiec_report_forms.htm Other-Supplemental Instructions
FFIEC 041 Consolidated Reports of Condition and Income for a Bank FFIEC041_201809_f.pdf www.ffiec.gov/ffiec_report_forms.htm Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Consolidated Reports of Condition and Income 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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FFIEC 041	Consolidated Reports of Condition and Income for a Bank with Domestic Offices Only	FFIEC041_201809_f.pdf	https://www.ffiec.gov/ffiec_report_forms.htm	Yes	Yes	Fillable Fileable Signable
Instruction			FFIEC031_FFIEC041_201809_i.pdf	https://www.ffiec.gov/ffiec_report_forms.htm	Yes	Yes	Fillable Fileable Signable
Other-Supplemental Instructions			FFIEC031_FFIEC041_FFIEC051_suppinst_201809.pdf	https://www.ffiec.gov/ffiec_report_forms.htm	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: 238	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	952	952
Annual IC Time Burden (Hours)	55,273	55,273
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.