83-c

PAPERWORK REDUCTION ACT
CHANGE WORKSHEET
NCES Cognitive, Pilot, and Field Test Studies System Clearance
Burden Change Request
Agency/Subagency

OMB Control Number

U.S. Department of Education, Institute of Education Sciences
Enter only items that change
Current Record

New Record

NA

NA

135,000
135,000

135,000*3=405,000
135,000*3=405,000

27,000

27,000*3=81,000
54,000
To account for increased
developmental work at NCES
and inclusion of recruitment
burden for all initially selected
and contacted sample members.
0

Agency form number(s)
Annual reporting and record
keeping hour burden
Number of respondent
Total annual responses
Percent of these responses
collected electronically
Total annual hours

1850-0803 v.104

Difference

Explanation of difference

Program change
Adjustment

+ 54,000

Annual reporting and record
keeping cost burden (in thousands
of dollars)
Total annualized capital/startup
costs
Total annual costs (O&M)
Total annualized cost requested

NA

NA

NA
NA

NA
NA
NA

Difference
Explanation of difference

NA
NA

Program change
Adjustment

This request is to increase burden for the NCES Cognitive, Pilot, and Field Test Studies System
Clearance (OMB# 1850-0803), to accommodate the many developmental studies currently being
carried out by NCES and the fact that our burden requests include sample members and burden
associated with recruitment. We request to increase burden allowance for the three years of clearance
to 405,000 responses and 81,000 burden hours (to be used over the three years).
Signature of Senior Official or
designee:

For OIRA Use

Date:

June 19, 2014
**This form cannot be used to extend an expiration date
OMB 83-C

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