FR3016_201410_83-i

PAPERWORK REDUCTION ACT SUBMISSION
Please read the instructions before completing this form. For additional forms or assistance in completing this form, contact your agency’s Paperwork
Clearance Officer. Send two copies of this form, the collection instrument to be reviewed, the Supporting Statement, and any additional documentation to:
Office of Information and Regulatory Affairs, Office of Management and Budget, Docket Library, Room 10102, 725 17th Street NW Washington,
DC 20503.
1. Agency/Subagency originating request

2. OMB control number
a. 7100- 0150

Board of Governors of the Federal Reserve System
3. Type of information collection (check one)
a.
b.

✘

New collection

a.

Revision of a currently approved collection

b.
c.

c.

Extension of a currently approved collection

d.

Reinstatement, without change, of a previously approved
collection for which approval has expired

e.

Reinstatement, with change, of a previously approved collection
for which approval has expired
Existing collection in use without an OMB control number

f.

b.

None

4. Type of review requested (check one)

Emergency - Approval requested by: ___ / ____ / ____

✘

Delegated

5. Small entities
Will this information collection have a significant economic impact on a
✘ No
substantial number of small entities?
Yes
6. Requested expiration date
a.

For b-f, note Item A2 of Supporting Statement instructions

Regular submission

✘

b.

Three years from approval date
Other

Specify: ______ / _______

7. Title
Ongoing Intermittent Survey of Households
8. Agency form number(s) (if applicable)

FR 3016
9. Keywords

Banks, banking, Federal Reserve System, credit, ongoing, intermittent, households, consumers, credit regulations
10. Abstract
The survey provides the Federal Reserve with considerable flexibility in obtaining household-based information specifically tailored to the
Federal Reserve's policy and regulatory and operational responsibilities.

11. Affected public (Mark primary with ‘‘P” and all others that apply with ‘‘X”)
a.

P Individuals or households

d.

Farms

12. Obligation to respond (Mark primary with ‘‘P” and all others that apply
with ‘‘X”)
a. P Voluntary

b.

Business or other for-profit e.

Federal Government

b.

Required to obtain or retain benefits

c.

Not-for-profit institutions

State, Local, Tribal Government

c.

Mandatory

f.

14. Annual reporting and recordkeeping cost burden (in thousands of dollars)

13. Annual reporting and recordkeeping hour burden

600
8,700

a. Number of respondents
b. Total annual responses
1. Percentage of these responses
collected electronically
c. Total annual hours requested
d. Current OMB inventory
e. Difference
f. Explanation of difference
1. Program change
2. Adjustment

0 %
633
633

15. Purpose of information collection (Mark primary with ‘‘P” and all others
that apply with ‘‘X”)
a.

Application for benefits

e.

b. P Program evaluation
f.
c. X General purpose statistics g.
d.

a. Total annualized capital/startup costs
b. Total annual costs (O&M)

c. Total annualized cost requested
d. Current OMB inventory
e. Difference
f. Explanation of difference
1. Program change
2. Adjustment
16. Frequency of recordkeeping or reporting (check all that apply)

Program planning or management

a.

Research

c.

✘

Regulatory or compliance

4.
7.

OMB 83-I

✘

✘

On occasion 2.

Weekly

3.

Monthly

6.

Annually

Quarterly

5.

Semi-annually

Biennially

8.

Other (describe)

18. Agency contact (person who can best answer questions regarding the
content of this submission)

Does this information collection employ statistical methods?
Yes

Third party disclosure

Reporting
1.

Audit

17. Statistical methods

b.

Recordkeeping

No

Name:

Laura McGaughey

Phone:

(202) 912-4618
10/95

19. Certification for Paperwork Reduction Act Submissions
Under authority delegated by OMB to the Board of Governors of the Federal Reserve System, the
staff of this agency has certified to the Board that this collection of information complies with the
requirements of 5 CFR 1320.9.

Signature of Senior Official or designee

OMB 83-I

Date

10/95