Change Worksheet

PAPERWORK REDUCTION ACT

CHANGE WORKSHEET

Agency/Subagency: Commerce/Census/FLD		OMB Control Number 0607-0809
Enter only items that change Current Record New Record
Agency form numbers(s)
Annual reporting and recordkeeping hour burden
Number of respondents	440,090	849,000
Total annual responses	440,090	849,000
Percent of these responses collected electronically	%	%
Total annual hours	20,000	14,162
Difference		-5,838
Explanation of difference Program change Adjustment		-5,838
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** See attached...
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

As specified in the most recent approval request for this information collection, the Census Bureau will submit a change worksheet at the beginning of each fiscal year to adjust the burden based on the specific activities to be conducted. We have determined the specific activities for FY 2007. They are as follows:

Activity Respondents Hours per Response Burden

DAAL 17,000 .05 850

Dress Rehearsal Address Canvassing 654,000 .016 10,464

Dress Rehearsal Update/Leave 178,000 .016 2,848

14,162

Detailed information, including a description of the activity, the location, and dates of the operation, will be provided to OMB prior to conducting each of these activities.