Information Collection

Disclosure FR Y-3

IC 248032 under ICR 202106-7100-017 · 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⚠️ Notice: This information collection may be referencing outdated material.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-3 Disclosure FR Y-3	Form
FRY3_20180731_i.pdf www.federalreserve.gov/apps/reportforms/default.aspx	Instruction
FRY3_20210830_i_draft.pdf www.federalreserve.gov/apps/reportforms/default.aspx	Other-Draft Instruction
FR Y-3 Application to Become a Bank Holding Company and/or Acqu FRY3_20180731_f.pdf www.federalreserve.gov/apps/reportforms/default.aspx	Form

IC Title:

Disclosure FR Y-3

Agency IC Tracking Number:

FR Y-3

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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-3	Application to Become a Bank Holding Company and/or Acquire an Additional Bank or Bank Holding Company	FRY3_20180731_f.pdf	https://www.federalreserve.gov/apps/reportforms/default.aspx	Yes	Yes	Fillable Fileable Signable
Instruction			FRY3_20180731_i.pdf	https://www.federalreserve.gov/apps/reportforms/default.aspx	Yes	Yes	Fillable Fileable Signable
Other-Draft Instruction			FRY3_20210830_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: 130

Number of Respondents for Small Entity: 104

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	130	130
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
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.