83-C form

PAPERWORK REDUCTION ACT
CHANGE WORKSHEET
Agency/subagency

OMB Control Number

Office of Justice Programs, Department of Justice

0277
1121
___ ___
___ ___ - ___
___ ___ ___
Enter only items that change
Current record

Agency form number (s)

New record

OJJDP NTTAC evaluation forms were not
referenced appropriately in 2009 extension
request

OJJDP NTTAC Evaluation forms were
split and tailored for event types while
audience and burden remained similar

Number of respondents

19690

24312.75

Total annual responses

19690

24312.75

6 OVC TTAC eval forms (T-100,
T-200, T-300, G-100, G-200, G-300);
11 OJJDP NTTAC evaluation forms
Annual reporting and recordkeeping hour
burden

Percent of these responses
collected electronically
Total annual hours

58

%

1926

49.5

%

1987.36

Difference

61.36

Explanation of difference

individual event type forms for NTTAC

Program change
Adjustment
Annual reporting and recordkeeping cost
burden (in thousands of dollars)

61.36

Total annualized Capital/Startup costs

47,563.78

47,563.78

Total annual costs (O&M)

82,210.56

82,210.56

Total annualized cost requested

129,774.34

129,774.34

Difference

0

Explanation of difference

no difference for cost to federal govt

Program change
Adjustment

0

Other changes**

There are no other changes beyond tailoring the NTTAC forms to event types and ensuring that the burden associated is
included as appropriate in the burden request
Signature of Senior Official or designee:

** This form cannot be used to extend an expiration date.
OMB 83-C

Date:

For OIRA Use
___________________________________
___________________________________

10/95