Form FR 2028S FR 2028S Prime Rate Supplement to Survey of Terms of Lending

FR 2028S
OMB No. 7100-0061
Approval expires June 30, 2012

PRIME RATE SUPPLEMENT TO
SURVEY OF TERMS OF LENDING
for the week beginning Monday, _________________________________
month

day

year

This report is authorized by law [12 U.S.C. §248(a)(2)]. Your voluntary cooperation in submitting this report is needed to make the results
comprehensive, accurate, and timely. The Federal Reserve may not conduct or sponsor, and an organization is not required to respond
to, a collection of information unless it displays a currently valid OMB control number.

For purposes of this survey, the prime rate (sometimes referred to as the “base” or “reference” rate) is
defined to be the administered rate used for pricing business and other credit, which your institution adjusts
from time to time in response to changes in market conditions. Your institution may set this rate internally or
may adopt as its own a published rate (for example, the prevailing prime rate as reported in the financial
press).

Please enter the prime rate at your institution for each
day during the survey week for which your institution
reports data on the FR 2028A or FR 2028B.

The rate should be entered to three decimal places.
For example, a rate of 8-1/2 percent should be
reported as 8.500.

Date
(Month/day)

Prime Rate
(Percent)

____/____

_____._____%

____/____

_____._____%

____/____

_____._____%

____/____

_____._____%

____/____

_____._____%

9912

7923

Please print:
Name and address of respondent

Person to be contacted concerning this report

Telephone number

Public reporting burden for this collection of information is estimated to average 0.1 hours per response, including the time to gather and
maintain data in the required form and to review instructions and complete the information collection. Send comments regarding this
burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: Secretary, Board
of Governors of the Federal Reserve System, 20th and C Streets, N.W., Washington, DC 20551; and to the Office of Management and
Budget, Paperwork Reduction Project (7100-0061), Washington, DC 20503.