Reg H-5 83c

PAPERWORK REDUCTION ACT
CHANGE WORKSHEET
Agency/Subagency

OMB control number

Board of Governors of the Federal Reserve System

7

1

0

0

-

0

2

6

1

Enter only items that change
Current Record

New Record

898

843

3,562

3,351

Agency form number(s)

Regulation H (Reg H-5)
Annual reporting and recordkeeping
hour burden
Number of respondents
Total annual responses
Percent of these responses
collected electronically

17,960

Total annual hours

16,860

(1,100)

Difference
Explanation of difference:

%

%

Program change

(1,100)

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 an update to the Reg H-5 respondent count.
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