Change Request

PAPERWORK REDUCTION ACT
CHANGE WORKSHEET
Agency/Subagency

OMB control number

TSA/DHS

1

6

5

2

0

0

4

4

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**

In accordance with Executive Order titled, “Defending Women from Gender Ideology Extremism and Restoring Biological Truth to the Federal
Government,” TSA is changing the term “gender” to “sex” and removing the option “non-binary.”
Signature of Senior Official or designee:

Date:

For OIRA Use

2/21/2025
**This form cannot be used to extend an expiration date.
OMB FORM 83-C, 10/95

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