Information Collection

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

IC 236609 under ICR 202406-3064-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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
FFIEC031_FFIEC041_202403_i.pdf	Instruction
FFIEC031_FFIEC041_202403_i.pdf	Instruction
FFIEC031_FFIEC041_FFIEC051_suppinst_202403.pdf	Instruction
REDLIN~2.PDF	Instruction
Redlined Draft FFIEC 041 Report Form for the Proposed Call Report Revisions Effective Dates Beginning with June 30 2024 v3.pdf	Other-Redlined FFIEC 041 Report Form
Redlined Draft FFIEC 041 Report Form for the Proposed Call Report Revisions Effective Dates Beginning with June 30 2024 v3.pdf	Other-Redlined FFIEC 041 Report Form
Redlined Draft FFIEC 041 Instructions with Effective Dates Beginning with the June 30 2024 Report Date 5.22.2024 v3.pdf	Other-Redlined FFIEC 041 Instruction
Redlined Draft FFIEC 041 Instructions with Effective Dates Beginning with the June 30 2024 Report Date 5.22.2024 v3.pdf	Other-Redlined FFIEC 041 Instruction
FFIEC 041 Consolidated Reports of Condition and Income for a Bank FFIEC041_202403_f.pdf	Form
FFIEC 041 Consolidated Reports of Condition and Income for a Bank FFIEC041_202403_f.pdf	Form
Summary of Technical Revisions Call Report (Final) 4.28.2022.docx Summary of Technical Revisions Call Report (April 2022)	IC Document
Summary of Technical Revisions Call Report (Final) 4.28.2022.docx Summary of Technical Revisions Call Report (April 2022)	IC Document
Appendix A_Text of 60-day FRN Describing New Hedging Item (Final) 4.28.2022.pdf Appendix A - Text of FR Notice Describing New Hedging Item	IC Document
Appendix A_Text of 60-day FRN Describing New Hedging Item (Final) 4.28.2022.pdf Appendix A - Text of FR Notice Describing New Hedging Item	IC Document

Information Collection (IC) Details

View Information Collection (IC)

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	FFIEC 041	Consolidated Reports of Condition and Income for a Bank with Domestic Offices OnlyâFFIEC 041	FFIEC041_202403_f.pdf	Yes	Yes	Fillable Fileable Signable
Instruction			FFIEC031_FFIEC041_202403_i.pdf	Yes	Yes	Fillable Fileable Signable
Instruction			REDLIN~2.PDF	Yes	Yes	Fillable Fileable Signable
Other-Redlined FFIEC 041 Report Form			Redlined Draft FFIEC 041 Report Form for the Proposed Call Report Revisions Effective Dates Beginning with June 30 2024 v3.pdf	Yes	Yes	Fillable Fileable Signable
Other-Redlined FFIEC 041 Instructions			Redlined Draft FFIEC 041 Instructions with Effective Dates Beginning with the June 30 2024 Report Date 5.22.2024 v3.pdf	Yes	Yes	Fillable Fileable Signable

Federal Enterprise Architecture Business Reference Module

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 635

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	2,540	-84	2,624
Annual IC Time Burden (Hours)	137,795	-2,117	139,912
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Summary of Technical Revisions Call Report (April 2022)	Summary of Technical Revisions Call Report (Final) 4.28.2022.docx	04/28/2022
Appendix A - Text of FR Notice Describing New Hedging Item	Appendix A_Text of 60-day FRN Describing New Hedging Item (Final) 4.28.2022.pdf	04/28/2022

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.