83c

PAPERWORK REDUCTION ACT

CHANGE WORKSHEET

Agency/subagency

OMB Control Number

DHS/USCIS

0008
1615
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Enter only items that change
Current record

New record

Agency form number (s)

G-325A

Annual reporting and recordkeeping hour
burden
Number of respondents
Total annual responses
Percent of these responses
collected electronically

%

%

Total annual hours
Difference
Explanation of difference
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**

This information collection is officially limited to deferred action requests. This update aligns the information collection
contents with the the approved use. Respondent and burden estimates are unaffected and unchanged.
Signature of Senior Official or designee:

Date:

3/24/2021
** This form cannot be used to extend an expiration date.

OMB 83-C

For OIRA Use
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10/95