I-589 Initial Online Filing 83C

PAPERWORK REDUCTION ACT

CHANGE WORKSHEET

Agency/subagency

OMB Control Number

DHS - USCIS

0067
1615
___ ___
___ ___ - ___
___ ___ ___
Enter only items that change
Current record

New record

Agency form number (s)

I-589

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**

USCIS is adding an online filing option for Form I-589. There are no substantive changes to the information collection.

Signature of Senior Official or designee:

Date:

9/29/2021
** This form cannot be used to extend an expiration date.

OMB 83-C

For OIRA Use
___________________________________
___________________________________

10/95