83c

PAPERWORK REDUCTION ACT

CHANGE WORKSHEET

Agency/subagency

OMB Control Number

Department of Homeland Security, U.S. Citizenship and Immigration Services
Enter only items that change
Current record

0067
1615
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___ ___ - ___
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New record

Agency form number (s)

I-589

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**

The current I-589 form instructions cite the guidance already provided in the pre-order instructions, which are in the process
of being revised and updated. USCIS is submitting this request to remedy this instructions language duplication to avoid
inconsistency.
Signature of Senior Official or designee:

Date:

12/10/24
** This form cannot be used to extend an expiration date.

OMB 83-C

For OIRA Use
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10/95