Information Collection

Reporting FR Y-12A

IC 223136 under ICR 202312-7100-005 · OMB 7100-0300.

Documents and Forms

Document Name Document Type
Form FR Y-12A Reporting FR Y-12A Form
FRY12A_20221231_i.pdf www.federalreserve.gov/apps/reportingforms Instruction
FRY12A_20231231_i_draft.pdf www.federalreserve.gov/apps/reportingforms Other-Draft Instruction
FR Y-12A Annual Report of Merchant Banking Investments Held for a FRY12A_20221231_f.pdf www.federalreserve.gov/apps/reportingforms Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Reporting FR Y-12A	Agency IC Tracking Number:	FR Y-12A

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	FR Y-12A	Annual Report of Merchant Banking Investments Held for an Extended Period	FRY12A_20221231_f.pdf	https://www.federalreserve.gov/apps/reportingforms	Yes	Yes	Fillable Fileable Signable
Instruction			FRY12A_20221231_i.pdf	https://www.federalreserve.gov/apps/reportingforms	Yes	Yes	Fillable Fileable Signable
Other-Draft Instruction			FRY12A_20231231_i_draft.pdf	https://www.federalreserve.gov/apps/reportingforms	Yes	Yes	Fillable Fileable Signable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 23	Number of Respondents for Small Entity: 10

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

Percentage of Respondents Reporting Electronically: 83 %

	Approved	Previously Approved
Annual Number of Responses for this IC	23	23
Annual IC Time Burden (Hours)	173	173
Annual IC Cost Burden (Dollars)	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.