Fr H-4 83-c

PAPERWORK REDUCTION ACT
CHANGE WORKSHEET
Agency/Subagency

OMB control number

Board of Governors of the Federal Reserve System

7

1

0

0

-

0

2

5

0

Enter only items that change
Current Record

New Record

1,490

1,437

379,772

167,927

Agency form number(s)

FR H-4
Annual reporting and recordkeeping
hour burden
Number of respondents
Total annual responses
Percent of these responses
collected electronically

94,943

Total annual hours

41,982

(52,961)

Difference
Explanation of difference:

%

%

Program change

(52,961)

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 total annual burden hours reflects an update of respondent count and a
decrease in frequency, which reflects changes in the mortgage lending market.
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