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

Agency form number(s)

FR 4010, FR 4011, FR 4012, FR 4017, FR 4019, and FR 4023
Annual reporting and recordkeeping
hour burden
Number of respondents
Total annual responses

112

87

112

87

Percent of these responses
collected electronically

1,846

Total annual hours

1,698

(148)

Difference
Explanation of difference:

%

%

Program change

(148)

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 decrease 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