OMB-83C Chane Request

PAPERWORK REDUCTION ACT

CHANGE WORKSHEET

Agency/subagency

OMB Control Number

DHS-USCIS

0054
1615
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Enter only items that change
Current record

New record

Agency form number (s)

N-445

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**

USCIS is providing clarifications within the form N-445 so that the respondents can better understand what documents must
be brought with them to the naturalization ceremony and clarification on what is to be expected. The form now also better
informs the respondent as to how they can communicate on issues related to naturalization.
Signature of Senior Official or designee:

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

OMB 83-C

Date:

10/17/2014

For OIRA Use
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10/95