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pdfPAPERWORK REDUCTION ACT
CHANGE WORKSHEET
Agency/subagency
OMB Control Number
DHS/USCIS
0150
1615
___ ___
___ ___ - ___
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Enter only items that change
Current record
New record
Agency form number (s)
Form I-129H2A
Annual reporting and recordkeeping hour
burden
Number of respondents
Total annual responses
Percent of these responses
collected electronically
%
%
Total annual hours
Difference
Explanation of difference
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 changes**
In response to the stay on the Public Charge (1615-AA22) injunction September 2020, USCIS is removing the Public Charge
language that was noted in red in the instruction document.
Signature of Senior Official or designee:
Date:
9/22/2020
** This form cannot be used to extend an expiration date.
OMB 83-C
For OIRA Use
___________________________________
___________________________________
10/95
File Type | application/pdf |
File Title | Paperwork Reduction Act Submission (OMB 83-I) |
Subject | Paperwork Reduction Act Submission (OMB 83-I) |
Author | OMB |
File Modified | 2020-09-22 |
File Created | 1999-03-02 |