Signed OMB Form 83-C

PAPERWORK REDUCTION ACT
CHANGE WORKSHEET
Agency/Subagency

OMB control number

DHS/FEMA/Resilience/NPD/THNED

1

6

6

0

0

0

2

4

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

Annual reporting and recordkeeping hour
burden
Number of respondents

153

153

Total annual responses

153

153

100 %

100 %

Percent of these responses
collected electronically
Total annual hours

5,360

Difference

5,360
0

Explanation of difference
Program change
Adjustment
Annual reporting and recordkeeping cost
burden (in thousands of dollars)
Total annualized Capital/Startup costs

0.00

Total annual costs (O&M)

311,458.00

311,458.00

Total annualized cost requested

311,458.00

311,458.00

Difference

0.00

Explanation of difference
Program change
Adjustment
Other changes**
FEMA is changing the current collection to reflect previously approved additions of the CFR and waiver process that were inadvertently left out of
ROCIS for the current collection.
Signature of Senior Official or designee:

Date:
DN: c=US, o=U.S. Government, ou=Department
of
Homeland Security, ou=FEMA, ou=People, cn=THOMAS K
WARNOCK, 0.9.2342.19200300.100.1.1=0598201738.FEMA
Date: 2021.02.23 10:00:47 -05'00'

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

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