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pdfPAPERWORK REDUCTION ACT
CHANGE WORKSHEET
Agency/subagency
OMB Control Number
DHS-USCIS
0116
1615
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___ ___ - ___
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Enter only items that change
Current record
Agency form number (s)
New record
202401-1615-043
202411-1615-004
Number of respondents
602528
602528
Total annual responses
602528
602528
I-912
Annual reporting and recordkeeping hour
burden
Percent of these responses
collected electronically
Total annual hours
0
%
659768
11.07
%
653434
Difference
-6334
Explanation of difference
PDFi filing process
Program change
Adjustment
Annual reporting and recordkeeping cost
burden (in thousands of dollars)
-6334
Total annualized Capital/Startup costs
Total annual costs (O&M)
2259480
2009460
Total annualized cost requested
2259480
2009460
Difference
-$250020
Explanation of difference
PDFi filing process
Program change
Adjustment
-$250020
Other changes**
This action is to add the new PDFi process, which will give applicants another filing option for certain Form I-765 eligibility
categories and Fee Waiver Requests. The PDFi process allows the applicant upload a completed .pdf of their immigration
benefit request, any supporting documentation, fee waiver request, and file their application as a .pdf online.
Signature of Senior Official or designee:
Date:
11/26/2024
** This form cannot be used to extend an expiration date.
OMB 83-C
For OIRA Use
___________________________________
___________________________________
10/95
| File Type | application/pdf |
| File Title | Paperwork Reduction Act Submission (OMB 83-I) |
| Subject | Paperwork Reduction Act Submission (OMB 83-I) |
| Author | OMB |
| File Modified | 2024-11-26 |
| File Created | 1999-03-02 |