OMB83C Change form

PAPERWORK REDUCTION ACT

CHANGE WORKSHEET

Agency/subagency

OMB Control Number

U.S. Department of Education/Office of Postsecondary Education

0843
1840
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Enter only items that change
Current record

New record

Agency form number (s)

Annual reporting and recordkeeping hour
burden
Number of respondents

2620

2683

Total annual responses

2620

2683

Percent of these responses
collected electronically
Total annual hours

%
2620

%
2935

Difference

315

Explanation of difference

63 applicants x 5 hours = 315 hours

Program change
Adjustment
Annual reporting and recordkeeping cost
burden (in thousands of dollars)
Total annualized Capital/Startup costs
Total annual costs (O&M)
Total annualized cost requested
Difference
Explanation of difference
Program change
Adjustment
Other changes**

Respondent and burden increases are for grantees who did not receive funding under section 18004(a)(2) of the CARES Act
but will be eligible to apply for similar funding under section 314(a)(2) of CRRSAA. We expect 63 applicants at 5 hours each,
for a total of 315 hours.
Signature of Senior Official or designee:
signed by Lauren Kennedy
Lauren Kennedy Digitally
Date: 2021.02.19 15:53:37 -05'00'

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

OMB 83-C

Date:

For OIRA Use
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10/95