Information Collection

Ffiec 041

IC 249742 under ICR 202512-1557-003 · OMB 1557-0081.

Documents and Forms

Document Name Document Type
Form FFIEC 041 Consolidated Reports of Condition and Income for a Bank with Domestic Offices Only-FFIEC 041 FFIEC 041 Form
FFIEC031_FFIEC041_FFIEC051_suppinst_202509.pdf www.ffiec.gov/resources/reporting-forms Other-Supplemental Instructions
FFIEC031_FFIEC041_FFIEC051_suppinst_202509.pdf www.ffiec.gov/resources/reporting-forms Other-Supplemental Instructions
FFIEC031_FFIEC041_202503_i.pdf www.ffiec.gov/resources/reporting-forms Instruction
FFIEC031_FFIEC041_202503_i.pdf www.ffiec.gov/resources/reporting-forms Instruction
FFIEC 041 Consolidated Reports of Condition and Income for a Bank FFIEC041_202509_f.pdf www.ffiec.gov/resources/reporting-forms Form
FFIEC 041 Consolidated Reports of Condition and Income for a Bank FFIEC041_202509_f.pdf www.ffiec.gov/resources/reporting-forms Form

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
Other-Supplemental Instructions			FFIEC031_FFIEC041_FFIEC051_suppinst_202509.pdf	https://www.ffiec.gov/resources/reporting-forms	Yes	Yes	Fillable Fileable
Instruction			FFIEC031_FFIEC041_202503_i.pdf	https://www.ffiec.gov/resources/reporting-forms	Yes	Yes	Fillable Fileable
Form	FFIEC 041	Consolidated Reports of Condition and Income for a Bank with Domestic Offices Only-FFIEC 041	FFIEC041_202509_f.pdf	https://www.ffiec.gov/resources/reporting-forms	Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 247	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	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	988	-20	1,008
Annual IC Time Burden (Hours)	53,174	-1,208	54,382
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.

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