83C Change Worksheet

PAPERWORK REDUCTION ACT

CHANGE WORKSHEET

Agency/Subagency U.S. Department of Education, OSERS, Report of Dispute Resolution Under Part C of the IDEA Compliants, Mediation,Due Process Hearings		OMB Control Number     -    1820-0678
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	56	56
Total annual responses	56	56     
Percent of these responses collected electronically	100%	100%          
Total annual hours	3,360	3,360     
Difference		0     
		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  FORMTEXT         
Difference		0           
Explanation of difference Program Change		0           
Adjustment		0           
Other change: I am submitting the attached data collection form under OMB# 1820-0678 to receive approval for the following change: a revision to the due date for the data submission (on page 1 of the form). Please see attached documents.      
Signature of Senior Officer or designee:      	Date:      	For OIRA Use            

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

OMB 83-C