83C Justification Worksheet

PAPERWORK REDUCTION ACT

CHANGE WORKSHEET

Agency/subagency

OMB Control Number

U.S Department of Education
1840

Enter only items that change
Current record

Agency form number (s)

-

0850

New record

Annual reporting and recordkeeping hour
burden
Number of respondents
Total annual responses
Percent of these responses
collected electronically

%

%

Total annual hours
Difference
Explanation of difference
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

Nonmaterial and nonsubstantive edits including clarifications, footnotes, changing a category name, and adding
an "other" category for instances when the existing categories are not sufficient to cover the reporting counts
Signature of Senior Official or designee:

Karen Epps

Digitally signed by Karen Epps
Date: 2022.11.15 13:40:55 -05'00'

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

OMB 83-C

Date:

11/15/2022

For OIRA Use
___________________________________
___________________________________

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