Fr 4027 83c

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

7

Enter only items that change
Current Record

New Record

5,720

5,712

5,720

5,712

Agency form number(s)

FR 4027
Annual reporting and recordkeeping
hour burden
Number of respondents
Total annual responses
Percent of these responses
collected electronically

231,200

Total annual hours

228,960

(2,240)

Difference
Explanation of difference:

%

%

Program change

(2,240)

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 change reflects a reduction in the expected number of new firms affected by the guidance.
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