83C Assurances Template

UNITED STATES DEPARTMENT OF EDUCATION
OFFICE OF MANAGEMENT
CHIEF PRIVACY OFFICE
INFORMATION COLLECTION CLEARANCE DIVISION
PAPERWORK REDUCTION ACT CHANGE WORKSHEET

Agency/Subagency:

OMB Number:

Ofc. of Elementary & Secondary Education (OESE)

1810-0576

Enter only items that change.
Annual reporting and recordkeeping hour burden:

Current Record

New Record

Agency form number(s)
Annual reporting and recordkeeping hour burden:
Number of respondents

52

52

Total annual responses

52

52

100%

100%

108,155

108,155

Percent of these responses collected electronically
Total annual hours
Difference:

0

Explanation of Difference:
0

Program Change
Adjustment
Annual reporting and recordkeeping cost burden
(in thousands of dollars):

0

Current Record

New Record

Total annualized capital/startup costs

$0

$0

Total annual costs (O&M)

$0

$0

Total annualized costs requested

$0

$0

Difference

$0

Explanation of Difference:
Program Change

$0

Adjustment

$0

Other Change:** (2,000 characters max). An attachment may be included with this form to provide additional information.
OOn March 9, 2017, pursuant to the Congressional Review Act (CRA) (5 U.S.C. §§ 801-808), Congress approved a joint resolution
disapproving the U.S. Department of Education’s (Department’s) regulations related to State plans, including consolidated State
plans, statewide accountability systems, and data reporting. The President signed the Congressional resolution on March 27, 2017,
which means that the regulations have no force or effect. As a result, the Department updated the assurances that each State must
submit in order to receive FY 2017 funding to align only with the statutory assurances required in ESEA section 8304. The revised
Signature
Seniorincludes
Officer an
or annotated
Designee:version
04/19/2017
assurances of
template
of ESEA
section 8304 which specifically references consultationDate:
requirements
Patrick
Rooney
and two certifications that SEAs are assuring to by completing the assurances template. Finally, we included a reference, with no
For OIRA Use:
associated
burden, to other approved forms the SEA will need to complete.
Digitally signed by Patrick Rooney
DN: c=US, o=U.S. Government, ou=U.S. Department of Education, cn=Patrick Rooney, 0.9.2342.19200300.100.1.1=9268306800
Date: 2017.04.19 10:56:55 -04'00'

**This form cannot be used to extend an expiration date.
OMB 83-C 8/2017