I-690 83-c

PAPERWORK REDUCTION ACT

CHANGE WORKSHEET

Agency/subagency

OMB Control Number

Department of Homeland Security, U.S. Citizenship and Immigration Services

0032
1615
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Enter only items that change
Current record

New record

Agency form number (s)

I-690

Annual reporting and recordkeeping hour
burden
Number of respondents

33

33

Total annual responses

33

33

Percent of these responses
collected electronically
Total annual hours

0

%

88

0

%

88

Difference

0

Explanation of difference

N/A

Program change
Adjustment
Annual reporting and recordkeeping cost
burden (in thousands of dollars)

N/A

Total annualized Capital/Startup costs
Total annual costs (O&M)
Total annualized cost requested
Difference
Explanation of difference
Program change
Adjustment
Other changes**

** See Table of Changes included in this request. Non-substantive changes to the Acknowledgment section language.

Signature of Senior Official or designee:

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

OMB 83-C

Date:

For OIRA Use
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10/95