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pdfPAPERWORK REDUCTION ACT
CHANGE WORKSHEET
Agency/Subagency
OMB control number
Board of Governors of the Federal Reserve System
7
1
0
-
0
0
3
6
6
Enter only items that change
Current Record
New Record
1,200
1,100
1,200
1,100
Agency form number(s)
FR 3076
Annual reporting and recordkeeping
hour burden
Number of respondents
Total annual responses
Percent of these responses
collected electronically
%
%
300
Total annual hours
294
(6)
Difference
Explanation of difference:
(6)
Program change
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 non-substantive change reflects an individual ad hoc collection use. [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
| File Type | application/pdf |
| File Modified | 2014-11-28 |
| File Created | 1997-06-05 |