Special Education and Rehabilitative Services Change Sheet

PAPERWORK REDUCTION ACT

CHANGE WORKSHEET

Agency/Subagency       Department of Education, Office of Special Education and Rehabilitative Services		OMB Control Number 1820 -0521
Enter only items that change Current Record New Record
Agency form number(s) Report of Children with Disabilities Exiting Special Education	     	     
Annual reporting and record keeping hour burden
Number of respondents	60	60
Total annual responses	1	1
Percent of these responses collected electronically	98%	98%
Total annual hours	78,480	78,480
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**       Correction of instruction for completing the data collection table, for purpose of consistency with regulations. See form instructions, page 3 of 5.
S ignature of Senior Officer or designee:      	Date:      	For OIRA Use            

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

OMB 83-C