Change Worksheet

PAPERWORK REDUCTION ACT

CHANGE WORKSHEET

Agency/Subagency: Commerce/Census/GOVS		OMB Control Number 0607-0585
Enter only items that change Current Record New Record
Agency form numbers(s)
Annual reporting and recordkeeping hour burden
Number of respondents	10,159	45,110
Total annual responses	10,159	45,110
Percent of these responses collected electronically	%	%
Total annual hours	31,787	129,656
Difference		97,869
Explanation of difference Program change Adjustment		97,869
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 June 2005 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