OMB 83-C Change Request - IFR Equity

OMB Form 83-C_1660-0002_FT-104-FY-22-104_6.13.24.pdf

Disaster Assistance Registration

OMB 83-C Change Request - IFR Equity

OMB: 1660-0002

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PAPERWORK REDUCTION ACT
CHANGE WORKSHEET
Agency/Subagency

OMB control number

DHS/FEMA

1

6

6

0

0

0

0

2

Enter only items that change
Current record
New record
Agency form number(s)

FT-104-FY-22-104

FT-104-FY-22-104

Annual reporting and recordkeeping hour
burden
Number of respondents

52,000

53,667

Total annual responses

52,000

53,667

Percent of these responses
collected electronically
Total annual hours

100 %

100 %

8,668

8,946
-278

Difference
Explanation of difference
Program change
Adjustment
Annual reporting and recordkeeping cost
burden (in thousands of dollars)
Total annualized Capital/Startup costs

0.00

0.00

Total annual costs (O&M)

0.00

0.00

Total annualized cost requested

0.00

0.00
0.00

Difference
Explanation of difference
Program change

0.00

Adjustment

0.00

Other changes**

For the 1660-0002 collection, updating Supporting Statement A due to a burden hour increase for the Request for Information (RFI) (Medical,
Dental, Disability-Accessibility-Related Items) form.
Signature of Senior Official or designee:

Date:

For OIRA Use

6/13/2024
**This form cannot be used to extend an expiration date.
OMB FORM 83-C, 10/95

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File Typeapplication/pdf
File TitleOMB Form 83-C, Paperwork Reduction Act Change Worksheet, October 1995
AuthorWHS/ESD/IMD
File Modified2024-06-13
File Created2007-08-09

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