Information Collection

Ffiec 041

IC 249742 under ICR 202110-1557-002 · OMB 1557-0081.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1557-0081 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FFIEC 041 FFIEC 041	Form
FFIEC031_FFIEC041_FFIEC051_suppinst_202109.pdf	Instruction
FFIEC031_FFIEC041_FFIEC051_suppinst_202109.pdf	Instruction
FFIEC031_FFIEC041_202109_i_updates.pdf	Instruction
FFIEC031_FFIEC041_202109_i_updates.pdf	Instruction
FFIEC031_FFIEC041_202109_i.pdf	Instruction
FFIEC031_FFIEC041_202109_i.pdf	Instruction
FFIEC 041 Consolidated Reports of Condition and Income for a Bank FFIEC 041 Revisions SA_CCR TFOR Approved v2 11.2.2021.pdf	Form
FFIEC 041 Consolidated Reports of Condition and Income for a Bank FFIEC 041 Revisions SA_CCR TFOR Approved v2 11.2.2021.pdf	Form
FFIEC 041 Consolidated Reports of Condition and Income FFIEC041_202109_f.pdf	Form
FFIEC 041 Consolidated Reports of Condition and Income FFIEC041_202109_f.pdf	Form

IC Title:

FFIEC 041

Agency IC Tracking Number:

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FFIEC 041	Consolidated Reports of Condition and Income for a Bank with Domestic Offices Only	FFIEC 041 Revisions SA_CCR TFOR Approved v2 11.2.2021.pdf	Yes	Yes	Fillable Fileable Signable
Form	FFIEC 041	Consolidated Reports of Condition and Income	FFIEC041_202109_f.pdf	Yes	Yes	Fillable Fileable Signable
Instruction			FFIEC031_FFIEC041_FFIEC051_suppinst_202109.pdf	Yes	No	Printable Only
Instruction			FFIEC031_FFIEC041_202109_i_updates.pdf	Yes	No	Printable Only
Instruction			FFIEC031_FFIEC041_202109_i.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: 303

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,212	1,212
Annual IC Time Burden (Hours)	51,025	51,025
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.