Change Sheet

PAPERWORK REDUCTION ACT

CHANGE WORKSHEET

Agency/Subagency US Department of Education/Office of English Language Acquisition		OMB Control Number 1894-0006
Enter only items that change Current Record New Record
Agency form number(s)	NA     	NA
Annual reporting and record keeping hour burden
Number of respondents	15	15
Total annual responses	15	15
Percent of these responses collected electronically	100%	100%
Total annual hours	600	600
Difference		NA
Explanation of difference Program Change		NA     
Adjustment		NA     
Annual reporting and record keeping cost burden (in thousands of dollars)
Total annualized capital/startup costs	NA     	NA     
Total annual costs (O&M)	NA     	NA     
Total annualized cost requested	NA	NA     
Difference		NA     
Explanation of difference Program Change		      NA
Adjustment		NA     
Other change**       The purpose of this change worksheet is to include the Application for New Awards; Native American and Alaska Native Children in School Program (NAM) under the generic application 1894-0006. The Notice is attached for your information.
Signature of Senior Officer or designee:      KimOanh Nguyen-Lam	Date: 01/25/2016	For OIRA Use            

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

OMB 83-C