Change Worksheet - Long Beach 2009

PAPERWORK REDUCTION ACT

CHANGE WORKSHEET

Agency/Subagency       Department of Education - FSA		OMB Control Number 1845-0045 v. 45     -    
Enter only items that change Current Record New Record
Agency form number(s)	     	     
Annual reporting and record keeping hour burden
Number of respondents	15,300     	     15,300
Total annual responses	     15,300	     15,300
Percent of these responses collected electronically	100%     	100%     
      Total annual hours	8,400     	8,400     
      Difference		NA     
Explanation of difference Program Chage		NA     
Adjustment		NA     
Annual reporting and record keeping cost burden (in thousands of dollars)
Total annualized capital/startup costs	NA     	     NA
Total annual costs (O&M)	NA     	     NA
Total annualized cost requested	NA     	     NA
Difference		     NA
Explanation of difference Program Change		      NA
Adjustment		     NA
Other change**       This collection does not increase the burden on the general public, as prior OMB approval has been received under the master plan for customer satisfaction surveys. This survey falls under the master plan guidelines. The only change to this survey from the previously approved survey is the addition of one question, which is added at the end of the survey, question 23 a. It reads, “In the past year, has any adult helping to support your family lost a job or had to work fewer hours than they would have liked?”
Signature of Senior Officer or designee:      	Date:       8/3/2009	For OIRA Use            

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

OMB 83-C