I-539 T-Rule 83C

PAPERWORK REDUCTION ACT

CHANGE WORKSHEET

Agency/subagency

OMB Control Number

DHS/ USCIS

0003
1615
___ ___
___ ___ - ___
___ ___ ___
Enter only items that change
Current record

New record

Agency form number (s)

I-539

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**

Instructions updates: new name for I-914 Supp B, expand the list of who may provide evidence that the applicant’s presence
is necessary, provide an expanded list of evidence that may be submitted to demonstrate exceptional circumstances, and
provide an example of when USCIS may approve an extension of status for T-1 nonimmigrants based on except CIRCS.
Signature of Senior Official or designee:

Date:

4/30/2024
** This form cannot be used to extend an expiration date.

OMB 83-C

For OIRA Use
___________________________________
___________________________________

10/95