OMB83 Change worksheet

PAPERWORK REDUCTION ACT

CHANGE WORKSHEET

Agency/subagency

OMB Control Number

U.S Department of Education
1894

Enter only items that change
Current record

Agency form number (s)

-

0006

New record

Annual reporting and recordkeeping hour
burden
Number of respondents

53

Total annual responses

53

Percent of these responses
collected electronically

%

Total annual hours

100

%

848

Difference

53 (respondents) x 16 (hours) = 848

Explanation of difference

Program requesting to use the 1894-0006 application package.

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
This is a new program requesting to use the 1894-0006 generic application package for an upcoming discretionary grant competition. The purpose of the SCTAC
grant program is to advance the mental health and well-being of early learners, school-age children and youth, and educators and other school staff, by making
grants to State educational agencies (SEAs) to provide technical assistance and capacity building to high-need local educational agencies (LEAs).

Signature of Senior Official or designee:

ANDREW BRAKE

Digitally signed by ANDREW BRAKE
Date: 2024.06.21 08:32:45 -04'00'

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

OMB 83-C

Date:

For OIRA Use
___________________________________
___________________________________

10/95