Statement of Purpose for an Extension of Credit by a Creditor

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

9

Enter only items that change
Current Record

New Record

138

5,100

138

102,000

Agency form number(s)

FR T-4
Annual reporting and recordkeeping
hour burden
Number of respondents
Total annual responses
Percent of these responses
collected electronically

23

Total annual hours

17,340

17,317

Difference
Explanation of difference:

%

%

Program change

17,317

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**
Increase in burden hours reflects an update to the method of estimating the number of respondents and the annual frequency. This purpose statement is
used by creditors as an internal documentation tool and is not submitted to the Federal Reserve. The estimated number of respondents is derived from the
2007 U.S. Census Bureau's Statistical Abstract of the United States and information obtained from the Financial Industry Regulatory Authority. The
annual frequency is based on an approximate number of new and renewed loans secured by margin stock.

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