Bank Holding Company application and notification forms

PAPERWORK REDUCTION ACT
CHANGE WORKSHEET
Agency/Subagency

OMB control number

Board of Governors of the Federal Reserve System

7

1

0

0

-

0

1

2

1

Enter only items that change
Current Record

New Record

674

854

674

854

Agency form number(s)

FR Y-3, FR Y-3N, FR Y-4
Annual reporting and recordkeeping
hour burden
Number of respondents
Total annual responses
Percent of these responses
collected electronically

22,920

Total annual hours

24,287

1,367

Difference
Explanation of difference:

%

%

1,367

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 increase in annual burden is to allow for the one-time voluntary testing and enrollment for a new
method of submitting Federal Reserve applications.
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