83 C

PAPERWORK REDUCTION ACT
CHANGE WORKSHEET
Agency/Subagency

OMB control number

DHS/FEMA

1

6

6

0

0

0

0

2

Enter only items that change
Current record
New record

Agency form number(s)

009-0-1T; 009-0-1Int; 009-0-2Int;
009-0-5; 009-0-6

009-0-1T; 009-0-1Int; 009-0-2Int;
009-0-5; 009-0-6

Annual reporting and recordkeeping hour
burden
Number of respondents

1,151,255

1,151,255

Total annual responses

1,151,255

1,151,255

Percent of these responses
collected electronically
Total annual hours

100 %

100 %

383,714

383,714

Difference

0

Explanation of difference
Program change

0

Adjustment

0

Annual reporting and recordkeeping cost
burden (in thousands of dollars)
Total annualized Capital/Startup costs

0.00

0.00

Total annual costs (O&M)

0.00

0.00

Total annualized cost requested

0.00

0.00

Difference

0.00

Explanation of difference
Program change
Adjustment
Other changes**
Minor changes to listed instruments to provide clarity for applicants.
Signature of Senior Official or designee:
signed by BRIAN G THOMPSON
BRIAN G THOMPSON Digitally
Date: 2020.05.26 14:16:39 -04'00'

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

Date:

For OIRA Use

5/26/2020

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