Information Collection

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

IC 236609 under ICR 202609-3064-009 · OMB 3064-0052.

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 Consolidated Report of Condition and Income (Call Report) for a Bank with Domestic Offices Only - FFIEC 041	Form
Form FFIEC 041 FFIEC 041 Reporting Form and Instructions - Emergency Revisions Consolidated Report of Condition and Income (Call Report) for a Bank with Domestic Offices Only - FFIEC 041	Form and Instruction
FFIEC031_FFIEC041_202503_i.pdf www.ffiec.gov/resources/reporting-forms	Instruction
FFIEC031_FFIEC041_FFIEC051_suppinst_202509.pdf www.ffiec.gov/resources/reporting-forms	Other-Supplemental Instructions
FFIEC 041 Consolidated Reports of Condition and Income for a Bank FFIEC041_202512_f.pdf www.ffiec.gov/resources/reporting-forms	Form
FFIEC 041 FFIEC 041 Reporting Form and Instructions - Emergency Re FFIEC 041 Redline Form and Instructions.pdf www.ffiec.gov/resources/reporting-forms	Form and Instruction

IC Title:

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
Form	FFIEC 041	https://www.ffiec.gov/resources/reporting-forms	Yes	Yes	Fillable Fileable
Instruction		https://www.ffiec.gov/resources/reporting-forms	Yes	Yes	Fillable Fileable
Other-Supplemental Instructions		https://www.ffiec.gov/resources/reporting-forms	Yes	Yes	Fillable Fileable
Form and Instruction	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: 502

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
	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	2,008	-264	2,272
Annual IC Time Burden (Hours)	108,291	-14,670	122,961
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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