OMB 83C change sheet

PAPERWORK REDUCTION ACT

CHANGE WORKSHEET

Agency/Subagency U.S. Department of Education/ /IES/ NCEE		OMB Control Number 1850--0800
	Enter only items that change Current Record	New Record
Agency form number(s)	NA	NA
Annual reporting and record keeping hour burden
Number of respondent	NA	NA
Total annual responses	NA	NA
Percent of these responses collected electronically	0 %	0 %
Total annual hours	1,156	1,156
Difference		0
Explanation of difference		N/A
Program change		0
Adjustment		0
Annual reporting and record keeping cost burden (in thousands of dollars)
Total annualized capital/startup costs	NA	NA
Total annual costs (O&M)	$0	$ 0
Total annualized cost requested	NA	NA
Difference
Explanation of difference		NA
Program change adjustment		NA
Other change** See attached OMB memo for a description of the methodology changes being requested. There are no changes to responses or burden hours as a result of the changes in methodology being requested.
Signature of Senior Official or designee:	Date:	For OIRA Use _________________________________ _________________________________

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

OMB 83-C