PAPERWORK REDUCTION ACT

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PAPERWORK REDUCTION ACT
CHANGE WORKSHEET

Agency/Subagency
     
Department of Education, Office of Special Education and Rehabilitative Services

OMB Control Number

           1820 -0659

Enter only items that change
	Current Record	New Record
Agency form number(s)

Report of the Participation and Performance of Students with Disabilities on State Assessments



     

     
Annual reporting and record keeping
hour burden


   Number of respondents
60
60
   Total annual responses
1
1
      Percent of these responses
      collected electronically
97%
97%
   Total annual hours
3,600
3,615
   Difference

15***

   Explanation of difference
                  Program Change             

0
                          Adjustment  

15
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**
Clarification and simplification of instructions for completing the data collection table.  A few key definitions added.  (Refer to bolded text.)  No new data elements added.  [More detailed memo of instruction edits is provided.]    ***The additional 15 hours of respondent burden were approved when this form was cleared under #1820-0681 with the ‘Two Percent’ regs package.  Those additional  hours now are being included under the original data reporting form, #1820-0659..


Signature of Senior Officer or
designee:


     


Date:


     

For OIRA Use
     
     
                  **This form cannot be used to extend an expiration date
                 OMB 83-C