Justification for Change Request

ACT
PAPERWORK REDUCTION
CHANGE WORKSHEET
OMB Control Number
AgencY/SubagencY
Student Aid'Bus'Op6''Prog'Mgr*'
U.S. Departtnent of Education/Federal

1845-01 I 3

SvcJcrants

& Campus-Based Divislofl

Enter onlY items that change
Recond
cunent
--'- ----

'

llew Record

[

AgencY form number(s)

Annual rcporting and record keeping
hour burden
Number of r€spondents

39

53

Tohl annual riespQnses

39

53

Percent of these r€Ponses

1O0

/o

l00o/o

collecbd electronicallY
78

Total annual houlE

106
28

Dif{erence

Change due sPecificallY to

increased number of institutions
participating in the Program- The
annual respondent burden houre
t2.0) has not changed.

Explanation of difference
Program Ghage

N'A

Adiusfnent
Annual reporting and record keeping
cost burden (in thousands of dollars)
0

Total annualazed caPital/shrtuP

0

cosB
Total annua! cosh (O&M)

0

0

Total annualized cost requested

0

0
0

Difference

o

Explanation of difierence
Program Change
0

Adiustment

Other change*
There arc no changesr to the data colle€taon, only the number of institutions participating. The form is updated
annually to rcflect current award year and date rcferences.

Signature of Senior O'fficer or
designee:

tlx

**This form cannot be used to
oMB 83-C

For OIRA Use

Date:
12t13t2A16

expiration date