Information Collection

Ffiec 041

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

Documents and Forms

Documents and forms in this information collection
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

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.	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Supplemental Instructions		https://www.ffiec.gov/resources/reporting-forms	Yes	Yes	Fillable Fileable
Instruction		https://www.ffiec.gov/resources/reporting-forms	Yes	Yes	Fillable Fileable
Form	FFIEC 041	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 %

table that charts list of burden
	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

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.

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