Justification for Nonmaterial Change

PAPERWORK REDUCTION ACT
CHANGE WORKSHEET
Agency/Subagency

OMB control number

Federal Deposit Insurance Corporation

3

0

6

4

0

1

4

8

Enter only items that change
Current record
New record
Agency form number(s)

Annual reporting and recordkeeping hour
burden
Number of respondents

5

6

Total annual responses
Percent of these responses
collected electronically
Total annual hours

%

%

125

150
-25

Difference
Explanation of difference
Program change

25

Adjustment
Annual reporting and recordkeeping cost
burden (in thousands of dollars)
Total annualized Capital/Startup costs
Total annual costs (O&M)

0.00

Total annualized cost requested

0.00
0.00

Difference
Explanation of difference
Program change
Adjustment
Other changes**

Signature of Senior Official or designee:

**This form cannot be used to extend an expiration date.
OMB FORM 83-C, 10/95

Date:

For OIRA Use

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