OMB 83C-PRA Change

1652-0058 OMB 83C-PRA Change WorkSheet Form_1.pdf

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

OMB 83C-PRA Change

OMB: 1652-0058

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PAPERWORK REDUCTION ACT
CHANGE WORKSHEET
Agency/Subagency

OMB control number

DHS/Transportation Security Administration/Information Technology

1

6

5

2

0

0

5

8

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

Annual reporting and recordkeeping hour
burden
Number of respondents

94,500

7,094,500

Total annual responses

94,500

7,094,500

Percent of these responses
collected electronically
Total annual hours

90 %

13,383

90 %

1,180,050
-1,166,667

Difference
Explanation of difference
Program change

1,166,667

Adjustment
Annual reporting and recordkeeping cost
burden (in thousands of dollars)
Total annualized Capital/Startup costs
Total annual costs (O&M)

0.00

Total annualized cost requested

0.00
0.00

Difference
Explanation of difference
Program change
Adjustment
Other changes**

Due to expanding outreach efforts to customers and stakeholders, the information collection burden has to be increased back to the prior OMB
approved numbers of 7,094,500 respondents and 1,180,050 annual burden hours.
Signature of Senior Official or designee:

Christina A. Walsh
**This form cannot be used to extend an expiration date.
OMB FORM 83-C, 10/95

Date:

For OIRA Use

10/29/2019

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File Typeapplication/pdf
File TitleOMB Form 83-C, Paperwork Reduction Act Change Worksheet, October 1995
AuthorWHS/ESD/IMD
File Modified2019-10-29
File Created2007-08-09

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