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pdfPAPERWORK REDUCTION ACT
CHANGE WORKSHEET
Agency/subagency
OMB Control Number
DHS/USCIS
0136
1615
___ ___
___ ___ - ___
___ ___ ___
Enter only items that change
Current record
New record
Agency form number (s)
I-941
Annual reporting and recordkeeping hour
burden
Number of respondents
Total annual responses
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**
USCIS is updating the instructions for USCIS Form I-941 to reflect changes made in the International Entrepreneur Final Rule.
These updates reflect changes explained in the rule document published at 82 FR 5238, within responses to public
comments.
Signature of Senior Official or designee:
john.r.ramsay@usc
is.dhs.gov
Digitally signed by
[email protected]
DN: [email protected]
Date: 2017.12.20 16:03:04 -05'00'
** This form cannot be used to extend an expiration date.
OMB 83-C
Date:
12/20/2017
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 | 2017-12-20 |
| File Created | 1999-03-02 |