83c

PAPERWORK REDUCTION ACT

CHANGE WORKSHEET

Agency/subagency

OMB Control Number

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

0003
1615
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Enter only items that change
Current record
Agency form number (s)

New record

The current form is offered in paper for
delivery to the agency via physical mail.

The new form is presented in electronic
format for electronic submission
through an on-line USCIS account.

Number of respondents

303,360 for both I-539 and I-539A

303,360 for both I-539 and I-539A

Total annual responses

676,837 (including biometrics processing)

676,837 (including biometrics)

0

30

I-539

Annual reporting and recordkeeping hour
burden

Percent of these responses
collected electronically
Total annual hours

%

962,126

%

889,877

Difference

72,249

Explanation of difference

Due to ability to file electronically

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

See above.

Total annualized Capital/Startup costs
Total annual costs (O&M)
Total annualized cost requested
Difference
Explanation of difference

No change.

Program change
Adjustment
Other changes**

Signature of Senior Official or designee:

Date:

3/13/2018
** This form cannot be used to extend an expiration date.

OMB 83-C

For OIRA Use
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10/95