Information Collection

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

IC 236609 under ICR 202011-3064-007 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
Form FFIEC 041 Redlined Consolidated Report of Condition and Income (Call Report) for a Bank with Domestic Offices Only - FFIEC 041 Form
Final Redlined Draft FFIEC 031 and FFIEC 041 Instructions for Proposed Call Report Revisions Q1 2021.pdf www.ffiec.gov/ffiec_report_forms.htm Instruction
FFIEC 041 Redlined Consolidated Report of Condition and Income for a Bank w Redline FFIEC 041 OMB 11.25.2020.pdf www.ffiec.gov/ffiec_report_forms.htm Form
FFIEC 041 Currentl Consolidated Report of Condition and Income for a Bank w FFIEC 041 September 2020 Current Form.pdf www.ffiec.gov/ffiec_report_forms.htm Form

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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FFIEC 041 Redlined	Consolidated Report of Condition and Income for a Bank with Domestic Offices Only	Redline FFIEC 041 OMB 11.25.2020.pdf	https://www.ffiec.gov/ffiec_report_forms.htm	Yes	Yes	Fillable Fileable Signable
Form	FFIEC 041 Currently Approved Version Sept 2020	Consolidated Report of Condition and Income for a Bank with Domestic Offices Only	FFIEC 041 September 2020 Current Form.pdf	https://www.ffiec.gov/ffiec_report_forms.htm	Yes	Yes	Fillable Fileable Signable
Instruction			Final Redlined Draft FFIEC 031 and FFIEC 041 Instructions for Proposed Call Report Revisions Q1 2021.pdf	https://www.ffiec.gov/ffiec_report_forms.htm	Yes	No	Printable Only

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 779	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	3,116	472	2,644
Annual IC Time Burden (Hours)	167,547	36,246	131,301
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.