Notice of Public Welfare Investments by State Member Banks to the Federal Resserve System

PAPERWORK REDUCTION ACT
CHANGE WORKSHEET
Agency/Subagency

OMB control number

Board of Governors of the Federal Reserve System

7

1

0

0

-

0

2

7

8

Enter only items that change
Current Record

New Record

31

40

31

40

Agency form number(s)

FR H-6
Annual reporting and recordkeeping
hour burden
Number of respondents
Total annual responses
Percent of these responses
collected electronically

%

%
125

Total annual hours

86

Difference
Explanation of difference:

Program change

(39)

Adjustment
Annual reporting and recordkeeping
cost burden (in thousands of dollars)
Total annualized Capital/Startup costs
Total annual costs (O&M)
Total annualized cost requested
Difference
Explanation of difference:

Program change
Adjustment

Other Change**
Decrease in burden hours reflects: (1) an update of respondent count; and (2) a shift of 38 respondents from filing
"Application"(average hours per response = 5), to filling an Investment Notices" (average hours per response = 2), for a net
decrease of 39 hours.
Signature of Senior Official or designee:

Date:

For OIRA Use

** This form cannot be used to extend an expiration date.
OMB 83-C

10/95