Change Worksheet

PAPERWORK REDUCTION ACT

CHANGE WORKSHEET

Agency/Subagency       ED/IES/NCES		OMB Control Number 1850     -    0803 v.10
Enter only items that change Current Record New Record
Agency form number(s)	     	     
Annual reporting and record keeping hour burden
Number of respondents	1500     	1500     
Total annual responses	1500     	1500     
Percent of these responses collected electronically	     100.0%	100.     0%
Total annual hours	4000     	4000     
Difference		     0
Explanation of difference Program Change		0     
Adjustment		     0
Annual reporting and record keeping cost burden (in thousands of dollars)
Total annualized capital/startup costs	     0	     0
Total annual costs (O&M)	     0	     0
Total annualized cost requested	     0	     0
Difference		     0
Explanation of difference Program Change		     0
Adjustment		     0
Other change**       This cognitive study is a study to continue work studying the high school seniors’ motivation to participate in voluntary assessments. This component of the work is for holding focus groups of seniors to interview them about their interests and motivations.
Signature of Senior Officer or designee:      	Date:      	For OIRA Use            

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

OMB 83-C