Information Collection

Ffiec 041

IC 249742 under ICR 202305-1557-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
Form FFIEC 041 FFIEC 041 Form and Instruction
FINAL FFIEC 031 041 Redlined Instructions 604 041 Page v4 5.22.2023.pdf Instruction
FINAL FFIEC 031 041 Redlined Instructions 604 041 Page v4 5.22.2023.pdf Instruction
FFIEC 041 Consolidated Reports of Condition and Income for a Bank FINAL Statutorily Mandated Full Review FFIEC 041 v3 5.22.2023.pdf Form and Instruction
FFIEC 041 Consolidated Reports of Condition and Income for a Bank FINAL Statutorily Mandated Full Review FFIEC 041 v3 5.22.2023.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	FFIEC 041	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FFIEC 041	Consolidated Reports of Condition and Income for a Bank with Domestic Offices Only	FINAL Statutorily Mandated Full Review FFIEC 041 v3 5.22.2023.pdf		Yes	Yes	Fillable Fileable Signable
Instruction			FINAL FFIEC 031 041 Redlined Instructions 604 041 Page v4 5.22.2023.pdf		Yes	Yes	Printable Only

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 267	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,068	-144	1,212
Annual IC Time Burden (Hours)	57,085	6,060	51,025
Annual IC Cost Burden (Dollars)	0	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.