OMB83-c_9_2011

OMB83-C_9_2011.docx

Microfilm Order

OMB83-C_9_2011

OMB: 3095-0046

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PAPERWORK REDUCTION ACT

CHANGE WORKSHEET

Agency/Subagency


National Archives and Records Administration (NARA)


OMB Control Number


3 0 9 5 - 0 0 4 6

Enter only items that change

Current record New record

Agency form number(s)

NATF 36



Annual reporting and recordkeeping hour burden


Number of respondents


Total annual respondents


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**There will be a fee increase on October 1, 2011, and this Change Worksheet documents that fee increase.


Signature of Senior Official or Designee:



Executive for Information Services


Date:

For OIRA Use

** This form cannot be used to extend an expiration date.

OMB FORM 83–C, 10/95

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitlePAPERWORK REDUCTION ACT
AuthorNARAuser
File Modified0000-00-00
File Created2021-01-31

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