Daily Report of Dealer Activity in Treasury Financing

DRAFT - November 22, 2006
FR 2004WI
OMB No. 7100-0003
Average Hours per Response: 1
Approval Expires November 30, 2006

Daily Report of Dealer Activity in Treasury Financing
as of close of trading on: ________________

(millions of dollars at par value)
Cumulative Outright Transactions

Security
1

Net Outright
Positions
2

Net Forward
Financing
Commitments
3

Purchases
4

Sales
5

1
2
3
4
5
6
7
8
9
Total
Return by 4:00 pm the following business day to:

name of preparer:

Government Securities Dealer Statistics Unit
Federal Reserve Bank of New York
33 Liberty Street

telephone #:
dealer name:

Fourth Floor
New York, NY 0045

comments:

Facsimile number (212) 720-5030 or (646) 720-5030

“To the best of my knowledge, the report has been prepared in conformity with the instructions issued by the Federal Reserve Bank of New York and is accurate. I am
responsible for the internal controls over the reporting of the data in this report and believe that these controls are effective. These internal controls are (1) designed to
ensure the accuracy of this data, (2) monitored and reviewed by audit or compliance staff, and (3) assessed regularly by management of the named institution. I agree to
report any material deficiencies in these internal controls and any inaccuracies in data already reported to the Federal Reserve Bank of New York.”
Note: Dealers are only required to submit a copy of this attestation with the last as-of date of each year.
Name ____________________________________________________________________

Title _____________________________________________________

Signature _________________________________________________________________

Date _____________________________________________________