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pdfPAPERWORK REDUCTION ACT
CHANGE WORKSHEET
Agency/subagency
OMB Control Number
Department of Homeland Security/FEMA
0030
1660
___ ___
___ ___ - ___
___ ___ ___
Enter only items that change
Current record
Agency form number (s)
New record
Entire Form written in English
Entire Form written in Spanish
Number of respondents
25,000
25,000
Total annual responses
25,000
25,000
FEMA Form: 010-0-10
Annual reporting and recordkeeping hour
burden
Percent of these responses
collected electronically
Total annual hours
0
%
4,250
0
%
4,250
Difference
0
Explanation of difference
N/A - same form, just translated
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**
Signature of Senior Official or designee:
signed by VICTORIA R CHILDS
VICTORIA R CHILDS Digitally
Date: 2018.04.13 16:02:25 -04'00'
** This form cannot be used to extend an expiration date.
OMB 83-C
Date:
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 | 2018-04-13 |
| File Created | 1999-03-02 |