OMB Form 83-C_1601-0014

PAPERWORK REDUCTION ACT
CHANGE WORKSHEET
Agency/Subagency

OMB control number

Department of Homeland Security/Office of the Scretary

1

6

0

1

0

0

1

4

Enter only items that change
Current record
New record
Agency form number(s)

Annual reporting and recordkeeping hour
burden
Number of respondents

184,902

61,728

Total annual responses

1

1

100 %

100 %

Percent of these responses
collected electronically
Total annual hours

300,000

100,000
200,000

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)

0.00

Total annualized cost requested

0.00
0.00

Difference
Explanation of difference
Program change
Adjustment
Other changes**

There is no change in the information being collected. The burden has been updated to reflect a decrease of 200,000 hours based on historical
usage.
Signature of Senior Official or designee:

Date:

For OIRA Use

Tyrone Huff 10/14/2022
**This form cannot be used to extend an expiration date.
OMB FORM 83-C, 10/95

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