Fr G-1, G-2, G-3, G-4, T-4, U-1 83c

PAPERWORK REDUCTION ACT
CHANGE WORKSHEET
Agency/Subagency

OMB control number

Board of Governors of the Federal Reserve System

7

1

0

0

-

0

0

1

1

Enter only items that change
Current Record

New Record

Agency form number(s)

FR G-1, FR G-2, FR G-3, FR G-4, FR T-4, FR U-1
Annual reporting and recordkeeping
hour burden
Number of respondents
Total annual responses

103

105

589

591

Percent of these responses
collected electronically

%

%
245

Total annual hours

260

Difference
Explanation of difference:

Program change

15

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 net increase reflects the current panel of respondents based on the last three years of filers.
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