Paperwork Reduction Act Submission (OMB 83-I)

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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; I-539A

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**

This action is to add an electronic filing option using PDF intake process (PDFi) through a USCIS online account for this
information collection. The PDFi process allows the respondent to upload a completed .pdf of their form, any supporting
documentation, pay any required fee, and file the form as a .pdf online.
Signature of Senior Official or designee:

JOHN R
RAMSAY

Digitally signed by JOHN R
RAMSAY
Date: 2026.10.09 11:42:51
-04'00'

** This form cannot be used to extend an expiration date.
OMB 83-C

Date:

For OIRA Use
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10/95