83-c

PAPERWORK REDUCTION ACT
CHANGE WORKSHEET
Agency/Subagency

OMB control number

Department of Homeland Security, Cybersecurity and Infrastructure Security Agency

1

6

7

0

0

0

2

7

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

n/a

n/a

Annual reporting and recordkeeping hour
burden
Number of respondents

800,630

10,500,630

Total annual responses

800,630

10,500,630

Percent of these responses
collected electronically
Total annual hours

%
40,180

%
525,180
-485,000

Difference
Explanation of difference
Program change

485,000

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**

CISA is increasing the uses of surveys to obtain greater feedback from the public, the increased use requires a larger approved bank of responses
and burden hours. Also, updating package to change name from NPPD to CISA.
Signature of Senior Official or designee:

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

Date:

For OIRA Use

12/19/2019

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