Change Justification

PAPERWORK REDUCTION ACT

CHANGE WORKSHEET

Agency/Subagency       ED/OPE/SS		OMB Control Number 1840-0525
Enter only items that change Current Record New Record
Agency form number(s)	     	     
Annual reporting and record keeping hour burden
Number of respondents	     	     
Total annual responses	     	     
Percent of these responses collected electronically	     	     
Total annual hours	     
Difference
Explanation of difference Program Change		     
Adjustment
Annual reporting and record keeping cost burden (in thousands of dollars)
Total annualized capital/startup costs	     	     
Total annual costs (O&M)	     	     
Total annualized cost requested	     	     
Difference		     
Explanation of difference Program Change		     
Adjustment		     
Other change: The following changes were made to the Record Structure: (1) Field 23, Enrollment Status (at the end of the academic year), 2013 was changed to 2014 and Field 38, Participant’s Case Number, was deleted. After further review, it was determined that this field could not be implemented. These changes are also reflected in the Instructions to the APR.
Signature of Senior Officer or designee:      	Date:      	For OIRA Use            

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

OMB 83-C