FRT-4_83c

FRT-4_201409_83c.pdf

Statement of Purpose for an Extension of Credit by a Creditor

FRT-4_83c

OMB: 7100-0019

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PAPERWORK REDUCTION ACT
CHANGE WORKSHEET
Agency/Subagency

OMB control number

Board of Governors of the Federal Reserve System

7

1

0

0

-

0

0

1

9

Enter only items that change
Current Record

New Record

135

4

2,700

80

Agency form number(s)

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

459

Total annual hours

14

(445)

Difference
Explanation of difference:

%

%

Program change

(445)

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 estimate of the number of respondents based on
actual number of FR G-4 reporting forms received in 2013.
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


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File Modified2014-09-04
File Created1997-06-05

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