OMB 83c

PAPERWORK REDUCTION ACT

CHANGE WORKSHEET

Agency/subagency

OMB Control Number

DHS/USCIS

0008
1615
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___ ___ - ___
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Enter only items that change
Current record

Agency form number (s)

Discretionary Options for Designated
Spouses, Parents, and Sons and
Daughters of Certain Military Personnel,
Veterans, and Enlistees

G-325A

New record

Biographic Information (for Deferred
Action)

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**

Changing the title of the Information Collection to "Biographic Information (for Deferred Action), and updating the title of the
instrument to the same.
Signature of Senior Official or designee:

john.r.ramsay@uscis
.dhs.gov

Digitally signed by
[email protected]
DN: [email protected]
Date: 2018.03.14 08:47:58 -04'00'

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

OMB 83-C

Date:

3/14/2018

For OIRA Use
___________________________________
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10/95