PAPERWORK REDUCTION ACT
CHANGE WORKSHEET
| Agency/Subagency 
 U.S. Department of Education/IES | OMB Control Number 
 1894-0006 v. 9 
 | |
| Enter only items that change Current Record New Record | ||
| Agency form number(s) 
 
 
 
 | 
					 
 | 
					 
 | 
| Annual reporting and record keeping hour burden | 
					 
 | |
| Number of respondents | 10,689 | 10,743 | 
| Total annual responses | 10,689 | 10,743 | 
| Percent of these responses collected electronically | 
					 75% | 
					 75% 
 | 
| Total annual hours | 407,310 | 410,550 | 
| Difference | 
					 | 
					 | 
| 
					 Explanation of difference 
 Program Change | 
					 | 
					 3,240 
 | 
| Adjustment | 
					 | 3, 240 | 
| 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** The purpose of this change sheet is to include the application for grants for the FY 2009 Statewide Longitudinal Data Systems Recovery Act grant program, CFDA # 84.384A, to the generic grant application, under 1894-0006. 
 
 
 | ||
| 
					 
 | Date: 
 
 
 
 | For OIRA Use 
 
 | 
**This form cannot be used to extend an expiration date
OMB 83-C
| File Type | application/msword | 
| File Title | OMB Form 83C | 
| Subject | Clearance Package change worksheet | 
| Author | James Vaughan | 
| Last Modified By | #Administrator | 
| File Modified | 2009-07-20 | 
| File Created | 2009-07-20 |