Reg V (217) 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

3

0

8

Enter only items that change
Current Record

New Record

30,000

30,000

30,000

30,000

Agency form number(s)

Regulation V (Section 217)
Annual reporting and recordkeeping
hour burden
Number of respondents
Total annual responses
Percent of these responses
collected electronically

240,000

Total annual hours

7,500

(232,500)

Difference
Explanation of difference:

%

%

Program change

(232,500)

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**
Decrease in burden hours reflects an update to the calculations for the estimated average hours per response. The decrease
in burden does not reflect a program change.
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