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pdfPAPERWORK REDUCTION ACT
CHANGE WORKSHEET
Agency/subagency
OMB Control Number
DHS-USCIS
0015
1615
___ ___
___ ___ - ___
___ ___ ___
Enter only items that change
Current record
New record
Agency form number (s)
I-140
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 requesting OMB approval of a non-substantive change request to correct an error made in the removal of the
Preparer section when updating the signature language. The Preparer section was preexisting on the prior approved version
of the form and instructions and adding this section back in does not impact the existing respondent population.
Signature of Senior Official or designee:
Date:
05/20/2024
** 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 | 2024-05-20 |
File Created | 1999-03-02 |