OMB83C Change Sheet

PAPERWORK REDUCTION ACT

CHANGE WORKSHEET

Agency/subagency

OMB Control Number

U.S Department of Education/OGC
1801

Enter only items that change
Current record

Agency form number (s)

-

0005

New record

Annual reporting and recordkeeping hour
burden
Number of respondents

5,705

5,705

Total annual responses

5,705

5,705

Percent of these responses
collected electronically
Total annual hours

%
2,853

%
5705

Difference

2,853

Explanation of difference

2,852

Program change
Adjustment
Annual reporting and recordkeeping 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 changes

The purpose of this change request is to provide the reporting instructions as specified from the Act and existing
clearance. There is an increase of hours due to the estimation of all reporting burden for this approved ICR.
Signature of Senior Official or designee:

Hilary Malawer

Digitally signed by Hilary Malawer
Date: 2020.05.05 16:45:24 -04'00'

** This form cannot be used to extend an expiration date.

OMB 83-C

Date:

For OIRA Use
___________________________________
___________________________________

10/95