83C Form

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

1894-0006

New Record

Agency form number(s)
N/A

Annual reporting and record keeping
hour burden
Number of respondents

20

Total annual responses

20

Percent of these responses
collected electronically

100

Total annual hours

800
20 (respondents) x 40 (hours) = 800 burden hours

Difference

Program requesting to use 18940006.

Explanation of difference
Program Change

800 burden hours

Adjustment
Annual reporting and record keeping
cost burden (in thousands of dollars)
Total annualized capital/startup
costs

0

Total annual costs (O&M)

0

Total annualized cost requested

0

Difference

0
0

Explanation of difference
Program Change
Adjustment

0

Other change**
This is a request for the American History and Civics Academies program to use the 1894-0006 generic
application. The Academies Program supports projects to raise student achievement in American history and
civics by improving teachers’ and students’ knowledge, understanding, and engagement with these subjects
through intensive workshops with scholars, master teachers, and curriculum experts. This program is authorized
under section 2233 of the Elementary and Secondary Education Act of 1965, as amended (ESEA).
Signature of Senior Officer or
designee:

Date:

April 19, 2021

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

For OIRA Use