Change Justification

PAPERWORK REDUCTION ACT
CHANGE WORKSHEET
Agency/Subagency

OMB Control Number

US Department of Education/ Office of Elementary and Secondary Education

Enter only items that change
Current Record

1810-0741

New Record

Agency form number(s)
N/A

Annual reporting and record keeping
hour burden
Number of respondents

52

Total annual responses

52
52

Percent of these responses
collected electronically

52

100

Total annual hours

100
26

Difference

130
104
The Department plans to provide
additional details on how the grantee
would submit information on their
grantmaking process, timelines and
conditions; and their internal
controls. This will increase the total
burden by 104 hours.

Explanation of difference
Program Change

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

104

Total annualized capital/startup
costs
Total annual costs (O&M)
Total annualized cost requested
Difference
Explanation of difference
Program Change
Adjustment
Other change**
This is a change request to provide additional detail to SEAs that are recipients of GEER Fund awards that will
explain how the grantee will submit information on their grantmaking process, timelines and conditions; and
their internal controls. This change will result in an additional 104 burden hours for the public.

Signature of Senior Officer or
designee:

Date:
June 5, 2020

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

For OIRA Use