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pdfPAPERWORK REDUCTION ACT
CHANGE WORKSHEET
Agency/Subagency
OMB control number
Generic Clearance for Improving Customer Experience (OMB Circular A-11, Section 280
Implementation)
1
6
0
1
0
0
2
9
Enter only items that change
Current record
New record
Agency form number(s)
Annual reporting and recordkeeping hour
burden
Number of respondents
Total annual responses
Percent of these responses
collected electronically
%
%
Total annual hours
0
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)
0.00
Total annualized cost requested
0.00
0.00
Difference
Explanation of difference
Program change
Adjustment
Other changes**
This request is being submitted to increase the burden allowed under this Generic ICR. This increase will allow for DHS and its components to
continue the use of this Generic ICR. This request specifically seeks to add 90000 hours of burden
Signature of Senior Official or designee:
Tyrone Huff
**This form cannot be used to extend an expiration date.
OMB FORM 83-C, 10/95
Date:
For OIRA Use
10/09/2024
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| File Type | application/pdf |
| File Title | OMB Form 83-C, Paperwork Reduction Act Change Worksheet, October 1995 |
| Author | WHS/ESD/IMD |
| File Modified | 2024-10-09 |
| File Created | 2007-08-09 |