Change Justification

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

Agency/Subagency:

OMB Number:

Federal Student Aid (FSA)

1845-0150
Enter only items that change.

Annual reporting and recordkeeping hour burden:

Current Record

New Record

Current Record

New Record

Agency form number(s)
Annual reporting and recordkeeping 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 recordkeeping cost burden
(in thousands of dollars):
Total annualized capital/startup costs

$0

$0

Total annual costs (O&M)

$0

$0

Total annualized costs requested

$0

$0

Difference
Explanation of Difference:

$0

Program Change

$0

Adjustment

$0

Other Change:** (2,000 characters max). An attachment may be included with this form to provide additional information.
Federal Student Aid (FSA) is requesting approval of changes to the Experimental Sites Initiative (ESI) Loan Counseling experiment
School Survey. Since approval of the information collection, the Institute of Education Sciences has been identified to lead the
evaluation of the Loan Counseling experiment. The School Survey questions have been re-ordered and re-structured from the
approved collection to allow for pre-coded response categories, while retaining open-ended response options. The School Survey
does not currently include all of the previously cleared questions. There is no change to the number of responses/respondents/
Digitally signed by Beth Grebeldinger
Signature
of Senior
Designee:
Date: 10/10/2018
burden hours.
These Officer
changes or
have
been previewed
approved by OMB. Date: 2018.10.10 10:22:26 -04'00'
Beth and
Grebeldinger
For OIRA Use:
**This form cannot be used to extend an expiration date.
OMB 83-C 8/2017