83C Change Worksheet

PAPERWORK REDUCTION ACT

CHANGE WORKSHEET

Agency/Subagency U.S. Department of Education, OSERSTitle I State Plan for Vocational Rehabilitation Services and Title VI-Part B Supplement for Supported Employment Services		OMB Control Number     -    1820-0500
Enter only items that change Current Record New Record
Agency form number(s)	NA     	NA
Annual reporting and record keeping hour burden
Number of respondents	12,000 80     	12,000 80     
Total annual responses	12,000 80     	12,000 80     
Percent of these responses collected electronically	100-95%     	100-95%          
Total annual hours	1,002,000     	1,002,000     
Difference		0     
		NA     
Adjustment		NA
Annual reporting and record keeping cost burden (in thousands of dollars)
Total annualized capital/startup costs	0 NA     	0 NA          
Total annual costs (O&M)	     0 NA     	0 NA          
Total annualized cost requested	     0 NA     	  0 NA FORMTEXT         
Difference		0 NA          
Explanation of difference Program Change		0 NA          
Adjustment		0 NA          
Other change** The current state plan (form 1820-0500) form has already been approved to allow the form to be submitted electronically each year by all state agencies. Attached is the approved form used to submit the state plan and the suggested modifications (which have been highlighted in screen 2 of 18). The recent form has been modified to include a note prior to the signature line that all agencies will maintain the required Certification for Lobbying for both the VR and Supported Employment programs and notes that agencies must retain a copy of a signed copy of this electronic form on copy at the agency.      
Signature of Senior Officer or designee:      	Date:      	For OIRA Use            

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

OMB 83-C