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pdfPAPERWORK REDUCTION ACT
CHANGE WORKSHEET
Agency/Subagency
OMB control number
Board of Governors of the Federal Reserve System
7
1
0
0
-
0
1
3
9
Enter only items that change
Current Record
New Record
9
15
9
15
Agency form number(s)
FR 4014
Annual reporting and recordkeeping
hour burden
Number of respondents
Total annual responses
Percent of these responses
collected electronically
5
Total annual hours
8
3
Difference
Explanation of difference:
%
%
Program change
3
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 burden hours reflects 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
| File Type | application/pdf |
| File Modified | 2019-09-13 |
| File Created | 1997-06-05 |