Information Collection

Disclosure FR Y-3N

IC 248033 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
Form FR Y-3N Disclosure FR Y-3N Form
FRY3N_20180731_i.pdf www.federalreserve.gov/apps/reportforms/default.aspx Instruction
FR Y-3N Notification to Become a Bank Holding Company and/or Acq FRY3N_20180731_f.pdf www.federalreserve.gov/apps/reportforms/default.aspx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Disclosure FR Y-3N	Agency IC Tracking Number:	FR Y-3N

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection 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_20180731_f.pdf	https://www.federalreserve.gov/apps/reportforms/default.aspx	Yes	Yes	Fillable Fileable Signable
Instruction			FRY3N_20180731_i.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: 21	Number of Respondents for Small Entity: 17

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

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	21	21
Annual IC Time Burden (Hours)	21	21
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.