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pdfPAPERWORK REDUCTION ACT
CHANGE WORKSHEET
Agency/subagency
OMB Control Number
DHS-USCIS
0023
1615
___ ___
___ ___ - ___
___ ___ ___
Enter only items that change
Current record
New record
Agency form number (s)
I-485
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 to update the form and instructions to comply with Executive
Order 14168, Defending Women From Gender Ideology Extremism and Restoring Biological Truth to the Federal
Government. These changes include replacing the term “gender” with “sex” and requiring an individual's sex list male or
female and not requesting gender identity.
Signature of Senior Official or designee:
Date:
For OIRA Use
___________________________________
Digitally signed by JERRY L
___________________________________
RIGDON
JERRY L RIGDON
02/18/2025
Date: 2025.02.18 12:21:00 -05'00'
** This form cannot be used to extend an expiration date.
OMB 83-C
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 | 2025-02-18 |
File Created | 1999-03-02 |