Information Collection

Ffiec 041

IC 249742 under ICR 202405-1557-008 · 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⚠️ Notice: This information collection may be referencing outdated material.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_202403.pdf www.ffiec.gov/ffiec_report_forms.htm	Instruction
FFIEC031_FFIEC041_FFIEC051_suppinst_202403.pdf www.ffiec.gov/ffiec_report_forms.htm	Instruction
FFIEC031_FFIEC041_202403_i.pdf www.ffiec.gov/ffiec_report_forms.htm	Instruction
FFIEC031_FFIEC041_202403_i.pdf www.ffiec.gov/ffiec_report_forms.htm	Instruction
Redlined Draft FFIEC 041 Instructions with Effective Dates Beginning with the June 30 2024 Report Date 5.22.2024 v3.pdf www.ffiec.gov/ffiec_report_forms.htm	Other-Draft Instructions FFIEC 041 (
Redlined Draft FFIEC 041 Instructions with Effective Dates Beginning with the June 30 2024 Report Date v4 6.25.2024.pdf www.ffiec.gov/ffiec_report_forms.htm	Other-Draft Instructions FFIEC 041 (
Redlined Draft FFIEC 041 Report Form for the Proposed Call Report Revisions Effective Dates Beginning with June 30 2024 v3.pdf www.ffiec.gov/ffiec_report_forms.htm	Other-Draft Form FFIEC 041 (June 30,
Redlined Draft FFIEC 041 Report Form for the Proposed Call Report Revisions Effective Dates Beginning with June 30 2024 v3.pdf www.ffiec.gov/ffiec_report_forms.htm	Other-Draft Form FFIEC 041 (June 30,
FFIEC 041 Consolidated Reports of Condition and Income for a Bank FFIEC041_202403_f.pdf www.ffiec.gov/ffiec_report_forms.htm	Form
FFIEC 041 Consolidated Reports of Condition and Income for a Bank FFIEC041_202403_f.pdf www.ffiec.gov/ffiec_report_forms.htm	Form

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FFIEC 041	Consolidated Reports of Condition and Income for a Bank with Domestic Offices OnlyâFFIEC 041	FFIEC041_202403_f.pdf	https://www.ffiec.gov/ffiec_report_forms.htm	Yes	Yes	Fillable Fileable
Instruction			FFIEC031_FFIEC041_FFIEC051_suppinst_202403.pdf	https://www.ffiec.gov/ffiec_report_forms.htm	Yes	Yes	Fillable Fileable
Instruction			FFIEC031_FFIEC041_202403_i.pdf	https://www.ffiec.gov/ffiec_report_forms.htm	Yes	Yes	Fillable Fileable
Other-Draft Instructions FFIEC 041 (June 30, 2024)			Redlined Draft FFIEC 041 Instructions with Effective Dates Beginning with the June 30 2024 Report Date v4 6.25.2024.pdf	https://www.ffiec.gov/ffiec_report_forms.htm	Yes	Yes	Fillable Fileable
Other-Draft Form FFIEC 041 (June 30, 2024)			Redlined Draft FFIEC 041 Report Form for the Proposed Call Report Revisions Effective Dates Beginning with June 30 2024 v3.pdf	https://www.ffiec.gov/ffiec_report_forms.htm	Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 263

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	Previously Approved
Annual Number of Responses for this IC	1,052	-16	1,068
Annual IC Time Burden (Hours)	56,755	-330	57,085
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.