Information Collection

Fr Y-12a

IC 223136 under ICR 202312-7100-002 · OMB 7100-0300.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 7100-0300 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FR Y-12A FR Y-12A	Form
FRY12A_20191231_i.pdf www.federalreserve.gov/apps/reportforms/default.aspx	Instruction
FR Y-12A Annual Report of Merchant Banking Investments Held for a FRY12A_20191231_f.pdf www.federalreserve.gov/apps/reportforms/default.aspx	Form

IC Title:

FR Y-12A

Agency IC Tracking Number:

FR Y-12A

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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FR Y-12A	Annual Report of Merchant Banking Investments Held for an Extended Period	FRY12A_20191231_f.pdf	https://www.federalreserve.gov/apps/reportforms/default.aspx	Yes	Yes	Fillable Printable
Instruction			FRY12A_20191231_i.pdf	https://www.federalreserve.gov/apps/reportforms/default.aspx	Yes	Yes	Fillable Printable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 23

Number of Respondents for Small Entity: 10

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	23	-68	91
Annual IC Time Burden (Hours)	173	-510	683
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.