83C Change Worksheet

PAPERWORK REDUCTION ACT

CHANGE WORKSHEET

Agency/Subagency U.S. Department of Education, IES		OMB Control Number 1850-0824
	Enter only items that change Current Record	New Record
Agency form number(s)	NA	NA
Annual reporting and record keeping hour burden
Number of respondent	112	254
Total annual responses	112	254
Percent of these responses collected electronically	0 %	0 %
Total annual hours	84	189
Difference		105
Explanation of difference
Program change		105
Adjustment		0
Annual reporting and record keeping cost burden (in thousands of dollars)
Total annualized capital/startup costs	NA	NA
Total annual costs (O&M)	NA	NA
Total annualized cost requested	NA	NA
Difference		NA
Explanation of difference
Program change		NA
Adjustment		NA
Other change** The purpose of this change sheet is to amend the currently approved collection to increase the respondent/responses. See attached memo for details.
Signature of Senior Official or designee:	Date:	For OIRA Use _________________________________ _________________________________

**This form cannot be used to extend an expiration date

OMB 83-C