Change Worksheet

PAPERWORK REDUCTION ACT

CHANGE WORKSHEET

Agency/Subagency       Department of Education, Office of Special Education and Rehabilitative Services		OMB Control Number 1820 -0677
Enter only items that change Current Record New Record
Agency form number(s) Report of Dispute Resolution Under Pt. B of the Individuals w/ Disabilities Educ. Act	     	     
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	4,200	4,200
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		-
Explanation of difference Program Change		0
Adjustment		0
Other change**       Revisions are clarifications and technical changes necessary to bring data collection table into full alignment with ED’s Part B regulations. (Edits identified by bold text in collection form instructions.)
S ignature of Senior Officer or designee:      	Date:      	For OIRA Use            

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

OMB 83-C