Information Collection

Consolidated Report of Condition and Income (Call Report) for a Bank with Domestic Offices Only - FFIEC 041

IC 236609 under ICR 202111-3064-004 · OMB 3064-0052.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3064-0052 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FFIEC 041 Consolidated Report of Condition and Income (Call Report) for a Bank with Domestic Offices Only - FFIEC 041	Form and Instruction
FFIEC 031-041 3Q 2021 Inserts Final.pdf	Instruction
FFIEC 031-041 3Q 2021 Inserts Final.pdf	Instruction
041 and 051 Tax Worksheets Q3 2021.pdf	Instruction
041 and 051 Tax Worksheets Q3 2021.pdf	Instruction
FFIEC 041 Consolidated Report of Condition and Income (Call Report FFIEC 041_5.24.2021 30 Day FRN Report Form and Instructions v2 5.21.2021.pdf	Form and Instruction
FFIEC 041 Consolidated Report of Condition and Income (Call Report FFIEC 041_5.24.2021 30 Day FRN Report Form and Instructions v2 5.21.2021.pdf	Form and Instruction

IC Title:

Consolidated Report of Condition and Income (Call Report) for a Bank with Domestic Offices Only - FFIEC 041

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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 and Instruction	FFIEC 041	Consolidated Report of Condition and Income (Call Report)	FFIEC 041_5.24.2021 30 Day FRN Report Form and Instructions v2 5.21.2021.pdf	Yes	Yes	Fillable Fileable Signable
Instruction			FFIEC 031-041 3Q 2021 Inserts Final.pdf	Yes	Yes	Fillable Fileable Signable
Instruction			041 and 051 Tax Worksheets Q3 2021.pdf	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: 742

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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	2,968	-24	2,992
Annual IC Time Burden (Hours)	160,539	-1,328	161,867
Annual IC Cost Burden (Dollars)	0	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.