Information Collection

Annual Stress Test

IC 202115 under ICR 201210-3064-001 · OMB 3064-0187.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3064-0187 can be found here:

Documents and Forms

Document Name Document Type
Form FDIC Template 1 Annual Stress Test Form and Instruction
FDIC Template 1 Basel III Capital Summary Submission Cover Sheet: Dodd-F Template 1.xlsx Form and Instruction
FDIC Template 2 FDIC DFAST Y-14A: Counterparty Credit Risk / CVA Data Su Template 2.xlsx Form and Instruction
FDIC Template 3 Summary Submission Cover Sheet. Dodd-Frank Act Annual St Template 3.xlsm Form and Instruction
FDIC Template 4 Summary Submission Cover Sheet. Dodd-Frank Act Annual St Template 4.xls Form and Instruction
NPR Annual Stress Test 2012-01-23_proposed-rule.pdf Annual Stress Test IC Document
Annual Stress Test 2012-08-30_notice.pdf Annual Stress Test PRA Notice IC Document
Annual Stress Test 2012-10-15_final-rule.pdf Annual Stress Test - Final Rule IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Annual Stress Test	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 12 CFR 325

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FDIC Template 1	Basel III Capital Summary Submission Cover Sheet: Dodd-Frank Act Annual Stress Test Reporting Template for Covered Banks with Total Consolidated Assets of $50 Billion or More - Excel	Template 1.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	FDIC Template 2	FDIC DFAST Y-14A: Counterparty Credit Risk / CVA Data Submission Cover Sheet - Excel	Template 2.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	FDIC Template 3	Summary Submission Cover Sheet. Dodd-Frank Act Annual Stress Test Reporting Template for Covered Banks with Total Consolidated Assets of $50 Billion or More - Excel	Template 3.xlsm	Yes	Yes	Fillable Fileable
Form and Instruction	FDIC Template 4	Summary Submission Cover Sheet. Dodd-Frank Act Annual Stress Test Reporting Template for Covered Banks with Total Consolidated Assets of $50 Billion or More - Excel	Template 4.xls	Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 25	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 New Statute	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	25	23	2
Annual IC Time Burden (Hours)	50,000	46,000	4,000
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Annual Stress Test	NPR Annual Stress Test 2012-01-23_proposed-rule.pdf	04/30/2012
Annual Stress Test PRA Notice	Annual Stress Test 2012-08-30_notice.pdf	10/18/2012
Annual Stress Test - Final Rule	Annual Stress Test 2012-10-15_final-rule.pdf	10/18/2012

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