Second April 2024 Change Request - OMB 83-C

PAPERWORK REDUCTION ACT
CHANGE WORKSHEET
Agency/Subagency

OMB control number

DHS/FEMA

1

6

6

0

0

0

6

1

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

FEMA Form: FF-104-FY-22-229,
229-A

FEMA Form: FF-104-FY-22-229,
229-A

Annual reporting and recordkeeping hour
burden
Number of respondents

1,605,712

1,605,712

Total annual responses

1,605,712

1,605,712

Percent of these responses
collected electronically
Total annual hours

100 %

240,857

100 %

401,428
-160,571

Difference
Explanation of difference
Program change
Adjustment
Annual reporting and recordkeeping cost
burden (in thousands of dollars)
Total annualized Capital/Startup costs

0.00

0.00

Total annual costs (O&M)

0.00

0.00

Total annualized cost requested

0.00

0.00
0.00

Difference
Explanation of difference
Program change

0.00

Adjustment

0.00

Other changes**

Signature of Senior Official or designee:

Date:

For OIRA Use

4/25/2024
**This form cannot be used to extend an expiration date.
OMB FORM 83-C, 10/95

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