FR 4022 (83-c)

FR4022_201512_83c.pdf

Recordkeeping Requirements Associated with the Interagency Statement on Complex Structured Finance Activities

FR 4022 (83-c)

OMB: 7100-0311

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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

3

1

1

Enter only items that change
Current Record

New Record

20

18

20

18

Agency form number(s)
FR 4022

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

0

200

Total annual hours

0

%

180

(20)

Difference
Explanation of difference:

%

Program change

(20)

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 a decrease to the FR 4022 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


File Typeapplication/pdf
File Modified2015-12-02
File Created1997-06-05

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