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

1810-0724

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
Explanation of difference
Program Change
Adjustment
Annual reporting and record keeping
cost burden (in thousands of dollars)
Total annualized capital/startup
costs
Total annual costs (O&M)
Total annualized cost requested
Difference
Explanation of difference
Program Change
Adjustment
Other change**
Currently, the 1810-0724 collection instructions include sections of data that are filled automatically by the ED Facts collection 18500925. OESE would like to remove those parts that are automatically filled to make the instructions clearer to respondents. This
request does not change any of the associated burden.

Signature of Senior Officer or
designee:

For OIRA Use

Date:
July 29, 2020

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