OMB83 Change Sheet

PAPERWORK REDUCTION ACT
CHANGE WORKSHEET
Agency/Subagency

OMB Control Number

U.S. Department of Education/ Institute of Education Sciences, National
Center for Education Evaluation
Enter only items that change
Current Record

1850-0882

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
No change to burden.
Explanation of difference
Program Change
Adjustment
Annual reporting and record keeping
cost burden (in thousands of dollars)

0

Total annualized capital/startup
costs
Total annual costs (O&M)
Total annualized cost requested
Difference

Explanation of difference
Program Change
Adjustment

0

Other change**
Brochure text providing information about study has been simplified to better fit literacy/cognitive level of target population
of study. There is no change to burden.

Signature of Senior Officer or
designee:

Sue Betka

Date:

Digitally signed by Sue Betka
DN: c=US, o=U.S. Government, ou=U.S.
Department of Education, cn=Sue Betka,
0.9.2342.19200300.100.1.1=9268223930
Date: 2016.07.18 14:42:45 -04'00'

**This form cannot be used to extend an expiration date
OMB 83-C

For OIRA Use