Fr 2034 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

2

5

Enter only items that change
Current Record

New Record

25

22

150

132

Agency form number(s)

FR 2034
Annual reporting and recordkeeping
hour burden
Number of respondents
Total annual responses
Percent of these responses
collected electronically

0

450

Total annual hours

0

%

660

210

Difference
Explanation of difference:

%

Program change

210

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**
Based on recent experience, the Federal Reserve has determined that the hourly estimate needs to be increased from 3.0
hours to 5.0 hours. The adjustment to the burden also includes an update to 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