FR1379abc OMB 83-C

PAPERWORK REDUCTION ACT
CHANGE WORKSHEET
Agency/Subagency

OMB control number

Board of Governors of the Federal Reserve System

7

1

0

0

-

0

1

3

5

Enter only items that change
Current Record

New Record

14,440

11,499

14,440

11,499

Agency form number(s)

FR 1379a,b,c
Annual reporting and recordkeeping
hour burden
Number of respondents
Total annual responses
Percent of these responses
collected electronically

100

2,037

Total annual hours

100

%

1,634

(403)

Difference
Explanation of difference:

%

Program change

(403)

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 questionnaires, survey, and online form are voluntary and the burden is based on the number of respondents that typically submit a
survey reply to the Federal Reserve. The adjustment is due to a decrease in the number of consumers responding to the survey.

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