Change Worksheet

PAPERWORK REDUCTION ACT

CHANGE WORKSHEET

Agency/Subagency      US Department of Education / Office of Elementary and Secondary Education		OMB Control Number 1894-0006
Enter only items that change Current Record New Record
Agency form number(s)	     	N/A
Annual reporting and record keeping hour burden
Number of respondents		24
Total annual responses		24
Percent of these responses collected electronically	     	100      
Total annual hours		420
Difference		24 (respondents) x 17.5 (hrs) = 420     
Explanation of difference Program Change		Seeking approval to use 1894-0006 for a program 420
Adjustment		0
Annual reporting and record keeping cost burden (in thousands of dollars)
Total annualized capital/startup costs	0     	0     
Total annual costs (O&M)	0	 0    
Total annualized cost requested	0	0
Difference		0
Explanation of difference Program Change		0
Adjustment		0
Other change** The Ready to Learn Television (RTL) grant competition supports the development of educational television and digital media targeted at preschool and early elementary school children and their families. Its general goal is to promote early learning and school readiness, with a particular interest in reaching low-income children. This application package is intended to provide the necessary forms and instructions for applicants who are applying for funding.
Signature of Senior Officer or designee:      	Date:      	For OIRA Use            

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

OMB 83-C