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pdfPAPERWORK REDUCTION ACT
CHANGE WORKSHEET
Agency/Subagency
OMB control number
Federal Deposit Insurance Corporation
3
0
6
4
0
1
7
4
Enter only items that change
Current record
New record
Agency form number(s)
Annual reporting and recordkeeping hour
burden
Number of respondents
5,076
5,135
Total annual responses
Percent of these responses
collected electronically
Total annual hours
%
461,916
%
466,640
-4,724
Difference
Explanation of difference
Program change
4,724
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
Reset
Adobe Professional 7.0
| File Type | application/pdf |
| File Title | OMB Form 83-C, Paperwork Reduction Act Change Worksheet, October 1995 |
| Author | WHS/ESD/IMD |
| File Modified | 2012-05-08 |
| File Created | 2007-08-09 |