Since when is tamper resistance a part of PDF or any common image format?
PDF files can be signed, that is tamper resistance. Tamper resistance doesn't have to make any difference to the readability of the document.
You can't change a PDF, it is by design to be not easy to OCRed
PDF files can be signed, that is tamper resistance. Tamper resistance doesn't have to make any difference to the readability of the document.