83c

PAPERWORK REDUCTION ACT

CHANGE WORKSHEET

Agency/subagency

OMB Control Number

DHS/USCIS

0018
1615
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Enter only items that change
Current record

New record

Agency form number (s)

I-212

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**

Currently, certain CBP designated Ports-of-Entry and preclearance offices may accept payment in the form of cash or credit
cards. However, moving forward, CBP designated preclearance offices will no longer accept payments. This information
collection is updated to reflect this change. There are no other changes.
Signature of Senior Official or designee:

Date:

4/11/2022
** This form cannot be used to extend an expiration date.

OMB 83-C

For OIRA Use
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10/95