Justification for Nonmaterial Change

PAPERWORK REDUCTION ACT
CHANGE WORKSHEET
Agency/Subagency

OMB control number

Federal Deposit Insurance Corporation

3

0

6

4

0

1

1

7

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

Annual reporting and recordkeeping hour
burden
Number of respondents

10

15

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

%

%

500

3,750
-3,250

Difference
Explanation of difference
Program change

3,250

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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