OMB83 Worksheet

PAPERWORK REDUCTION ACT

CHANGE WORKSHEET

Agency/Subagency ED/OPE		OMB Control Number 1894-0006
Enter only items that change Current Record New Record
Agency form number(s) N/A	     	     
Annual reporting and record keeping hour burden
Number of respondents	9861
Total annual responses	9861
Percent of these responses collected electronically	75%
Total annual hours	447089
Difference
Explanation of difference Program Change		This is a newly created joint program with the Social Security Administration (SSA).
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
Difference		0
Explanation of difference Program Change		0
Adjustment		     
Other change** The purpose of this Change Worksheet is to include the application for grants under the newly-created Minorities and Retirement Security Program, CFDA 84.414A under generic application 1894-0006. The NIA is attached for your information. There will be 40 responses and 1400 hours for this application.
Signature of Senior Officer or designee:      	Date:      	For OIRA Use            

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

OMB 83-C