FR 4010, FR 4011, FR 4012, FR 4017, FR 4019, and FR 4023 83-C justification

PAPERWORK REDUCTION ACT
CHANGE WORKSHEET
Agency/Subagency

OMB control number

Board of Governors of the Federal Reserve System

7

1

0

0

-

0

2

9

2

Enter only items that change
Current Record

New Record

90

112

90

112

Agency form number(s)
FR 4010, FR 4011, FR 4012, FR 4017, FR 4019, FR 4023

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

%

%
1,799

Total annual hours

1,846

47

Difference
Explanation of difference:

Program change

47

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 total annual burden hours reflects an update to the respondent counts.
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