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pdfPAPERWORK REDUCTION ACT
CHANGE WORKSHEET
Agency/subagency
OMB Control Number
DHS/ICE/HSI
0049
1653
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___ ___ - ___
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Enter only items that change
Current record
New record
Agency form number (s)
Suspicious an Criminal Activity Tip
Reporting
Annual reporting and recordkeeping hour
burden
Number of respondents
0
0
Total annual responses
0
0
Percent of these responses
collected electronically
Total annual hours
0
%
0
0
%
0
Difference
0
Explanation of difference
0
Program change
Adjustment
Annual reporting and recordkeeping cost
burden (in thousands of dollars)
0
Total annualized Capital/Startup costs
0
0
Total annual costs (O&M)
0
0
Total annualized cost requested
0
0
Difference
0
Explanation of difference
0
Program change
Adjustment
0
Other changes**
Remove the benefit fraud radio button option from the HSI Tip Line web tip form. This change will address OMB's overlap
concern with the USCIS web benefit fraud collection. Because there is no assurance benefit fraud tip will no longer be
submitted via the ICE Tip collection the probability of a change in the burden is unlikely.
Signature of Senior Official or designee:
Date:
05/04/2021
** This form cannot be used to extend an expiration date.
OMB 83-C
For OIRA Use
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10/95
| File Type | application/pdf |
| File Title | Paperwork Reduction Act Submission (OMB 83-I) |
| Subject | Paperwork Reduction Act Submission (OMB 83-I) |
| Author | OMB |
| File Modified | 2021-05-04 |
| File Created | 1999-03-02 |