Change Worksheet 1894-0006 Add 84.051D

UNITED STATES DEPARTMENT OF EDUCATION
OFFICE OF MANAGEMENT
CHIEF PRIVACY OFFICE
INFORMATION COLLECTION CLEARANCE DIVISION
PAPERWORK REDUCTION ACT CHANGE WORKSHEET

Agency/Subagency:

OMB Number:

Office of Career, Technical & Adult Education (OCTAE)

1894-0006

Enter only items that change.
Annual reporting and recordkeeping hour burden:

Current Record

New Record

Agency form number(s)
Annual reporting and recordkeeping hour burden:
Number of respondents

9,861

9,901

Total annual responses

9,861

9,901

Percent of these responses collected electronically

100%

100%

447,089

450,289

Total annual hours
Difference:

3,200

Explanation of Difference:
3,200

Program Change
Adjustment

0

Annual reporting and recordkeeping cost burden
(in thousands of dollars):

Current Record

New Record

Total annualized capital/startup costs

$0

$0

Total annual costs (O&M)

$0

$0

Total annualized costs requested

$0

$0

Difference

$0

Explanation of Difference:
Program Change

$0

Adjustment

$0

Other Change:** (2,000 characters max). An attachment may be included with this form to provide additional information.
The purpose of this change worksheet is to add the notice inviting applications for the High School Career and Technical Education
Teacher Pathway Initiative (CFDA 84.051D) to the Generic Application Package for Generic Grant Programs information
collection.

Signature of Senior Officer or Designee:

Braden Goetz

For OIRA Use:
**This form cannot be used to extend an expiration date.
OMB 83-C 8/2017

Digitally signed by Braden Goetz
DN: c=US, o=U.S. Government, ou=U.S. Department of Education, cn=Braden Goetz,
0.9.2342.19200300.100.1.1=9268339140
Date: 2017.05.09 07:53:22 -04'00'

Date: 05/09/2017