FR-28 and FR-28s Change Request

PAPERWORK REDUCTION ACT
CHANGE WORKSHEET
Agency/Subagency

OMB control number

Board of Governors of the Federal Reserve System

7

1

0

0

-

0

1

8

1

Enter only items that change
Current Record

New Record

Agency form number(s)

FR-28, FR-28s
Annual reporting and recordkeeping
hour burden
Number of respondents
Total annual responses
Percent of these responses
collected electronically

%

%

Total annual hours
Difference
Explanation of difference:

Program change
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**

There are three changes being made with this action. First, the Board has created an online submission
system for the application for employment. Second, there are some adjustments to the wording of
questions on the FR-28 to match what is in the online system. Third, the Race and National Origin
Signature of Seniorquestion
Official or on
designee:
Date: OMB standards. There
For OIRA
self-identification
the FR-28s is adjusted to match
is no Use
change to
the burden resulting from these actions.

** This form cannot be used to extend an expiration date.
OMB 83-C

10/95