Change Worksheet Memo

PAPERWORK REDUCTION ACT

CHANGE WORKSHEET

Agency/Subagency Office of the Secretary		OMB Control Number 1894-0011
Enter only items that change Current Record New Record
Agency form number(s)	1894 - 0011	     
Annual reporting and record keeping hour burden
Number of respondents	48	48
Total annual responses	48	48
Percent of these responses collected electronically	0%	     
Total annual hours	74	74
Difference		0
Explanation of difference Program Change		     
Adjustment		     
Annual reporting and record keeping cost burden (in thousands of dollars)
Total annualized capital/startup costs	$0.00	     
Total annual costs (O&M)	$0.00	     
Total annualized cost requested	$0.00	     
Difference		     
Explanation of difference Program Change		     
Adjustment		     
Other change** ED is requesting amendments to the approved collection in order to make necessary clarifications, some reformatting, and word changes based on feedback. These nonsubstantive changes do not change the burden hours for the collection. The changes are detailed in the change worksheet memo.
Signature of Senior Officer or designee:  	Date:      	For OIRA Use            

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

OMB 83-C