FR 3063a and b 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

3

4

3

Enter only items that change
Current Record

New Record

80

200

80

200

Agency form number(s)
Government-Administered, General-Use Prepaid Card Surveys
(FR 3063a and FR 3063b)

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

100

%

1,900

Total annual hours

%

3,700

1,800

Difference
Explanation of difference:

100

0

Program change

1,800

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 increase in total annual burden hours is due to an update in the respondent count.

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