Download:
pdf |
pdfPAPERWORK REDUCTION ACT
CHANGE WORKSHEET
Agency/subagency
OMB Control Number
DHS/UNITED STATES COAST GUARD (USCG)
0040
1625
___ ___
___ ___ - ___
___ ___ ___
Enter only items that change
Current record
New record
Agency form number (s)
CG-719K
Annual reporting and recordkeeping hour
burden
Number of respondents
65,299
65,299
Total annual responses
65,299
65,299
Percent of these responses
collected electronically
Total annual hours
0
%
10,885
0
%
10,885
Difference
0
Explanation of difference
Program change
Adjustment
Annual reporting and recordkeeping cost
burden (in thousands of dollars)
0
Total annualized Capital/Startup costs
Total annual costs (O&M)
Total annualized cost requested
Difference
Explanation of difference
Program change
Adjustment
Other changes**
DHS/USCG is submitting this change request due to modification in form CG-719K. This modification to the form will NOT
increase the burden hours, the number of respondents, or the number of responses. The final version and requested changes
are submitted for comparison purposes.
Signature of Senior Official or designee:
ARTHUR A. REQUINA, COI MANAGER
** This form cannot be used to extend an expiration date.
OMB 83-C
Date:
09/02/2009
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 | 2009-10-19 |
| File Created | 1999-03-02 |