Form 83-C for BE-15-2005

PAPERWORK REDUCTION ACT

CHANGE WORKSHEET

Agency/subagency

OMB Control Number

Department of Commerce/Bureau of Economic Analysis

0034
0608
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Enter only items that change
Current record

New record

Agency form number (s)

BE-15(LF), (SF), EZ, and
Supplement C (Claim for not filing)
Annual reporting and recordkeeping hour
burden
Number of respondents

4,950

4,950

Total annual responses

4,950

4,950

Percent of these responses
collected electronically
Total annual hours

20

%

107,900

20

%

107,900

Difference

0

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**

Uploading final forms for OMB approval.

Signature of Senior Official or designee:

** This form cannot be used to extend an expiration date.

OMB 83-C

Date:

For OIRA Use
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10/95