Change Worksheet

0452-83C.wpd

Government Employment Forms

Change Worksheet

OMB: 0607-0452

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PAPERWORK REDUCTION ACT

CHANGE WORKSHEET


Agency/Subagency: Commerce/Census/GOVS

OMB Control Number

0607-0452

Enter only items that change

Current Record New Record

Agency form numbers(s)



Annual reporting and recordkeeping hour burden



Number of respondents

16,913

96,591

Total annual responses

16,913

96,591

Percent of these responses collected

electronically

%

%

Total annual hours

14,124

82,520

Difference


68,396

Explanation of difference

Program change

Adjustment


68.396

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 burden increase is due to an increase in the number of respondents to this collection during FY 2007. The forms in this collection are used to collect information every year from state and local governments. Every fifth year, as part of the five-year census of governments, the forms are sent to the universe of state and local governments. In other years, the forms are sent to only a sample of governments. The usage of the information collection forms for this census-related purpose is fully explained and documented in our December 2004 formal information collection request.

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

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