GLB 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

9

2

Enter only items that change
Current Record

New Record

217

104

217

104

Agency form number(s)
GLB
FR 4010, FR 4011, FR 4012, FR 4017, FR 4019, FR 4023

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

0

3,485

Total annual hours

0

%

1,852

(1,633)

Difference
Explanation of difference:

%

Program change

(1,633)

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**

The decrease in total annual hours is due to an update in the number of respondents.
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