83-C Change Sheet

PAPERWORK REDUCTION ACT

CHANGE WORKSHEET

Agency/subagency

OMB Control Number

U.S Department of Education/Office of the Secretary
1894

Enter only items that change
Current record

Agency form number (s)

-

0001

New record

Annual reporting and recordkeeping hour
burden
Number of respondents

1

1

Total annual responses

1

1

Percent of these responses
collected electronically
Total annual hours

100

%

100

3

%

3

Difference

0

Explanation of difference

0

Program change
Adjustment
Annual reporting and recordkeeping cost
burden (in thousands of dollars)

0

Total annualized Capital/Startup costs
Total annual costs (O&M)
Total annualized cost requested
Difference
Explanation of difference
Program change
Adjustment
Other changes
The form has been updated to include an additional tier of evidence--demonstrates a rationale. Specifically, demonstrates a rationale was added as an option under 1. Level of Evidence; 2.
Citation and Relevance was updated to include Research under A., Relevant Outcome(s) under B, and Project Component(s) under C.; and the Instructions were updated to include relevant
instructions for an applicant completing the form for demonstrates a rationale. Lastly, the Paperwork Burden Statement office contact was updated to the Office of Planning, Evaluation and Policy
Development.

Signature of Senior Official or designee:

Kelly Terpak

Digitally signed by Kelly Terpak
Date: 2020.09.10 07:57:27 -04'00'

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

OMB 83-C

Date:

09/10/2020

For OIRA Use
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10/95