OMB 83c

PAPERWORK REDUCTION ACT

CHANGE WORKSHEET

Agency/subagency

OMB Control Number

DHS/USCIS

0092
1615
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Enter only items that change
Current record

New record

Agency form number (s)

n/a

Annual reporting and recordkeeping hour
burden
Number of respondents

23,866,330

23,736,667

Total annual responses
Percent of these responses
collected electronically
Total annual hours

%
3,587,275

%
3,590,281

Difference

2,996 hours

Explanation of difference

Transfer burden

Program change
Adjustment
Annual reporting and recordkeeping cost
burden (in thousands of dollars)
Total annualized Capital/Startup costs
Total annual costs (O&M)
Total annualized cost requested
Difference
Explanation of difference
Program change
Adjustment
Other changes**

With the withdrawal of the 2016 revision package and the temporary creation of 1615-0153 where updates to the E-Verify
Program were made, USCIS is now transferring the burden from 1615-0153 to 1615-0092. With an approval of this 83C,
USCIS will discontinue 1615-0153 and will maintain the collection under 1615-0092 to maintain history.
Signature of Senior Official or designee:

Date:

3/19/2021
** This form cannot be used to extend an expiration date.

OMB 83-C

For OIRA Use
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10/95