Information Collection

Ffiec 102

IC 214914 under ICR 201910-3064-004 · OMB 3064-0199.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3064-0199 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FFIEC 102 FFIEC 102	Form
FFIEC 102 Instructions 2019.pdf	Instruction
FFIEC 102 FFIEC 102 Reporting Form FFIEC 102 Reporting Form 2019.pdf	Form

IC Title:

FFIEC 102

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 12 CFR Part 325 (To search for a specific CFR, visit the Code of Federal Regulations.)

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 102	FFIEC 102 Reporting Form	FFIEC 102 Reporting Form 2019.pdf		Yes	Yes	Fillable Fileable
Instruction			FFIEC 102 Instructions 2019.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: 1

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
	Approved	Previously Approved
Annual Number of Responses for this IC	4	4
Annual IC Time Burden (Hours)	48	48
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.