Change Worksheet

PAPERWORK REDUCTION ACT

CHANGE WORKSHEET

Agency/subagency

OMB Control Number

U.S Department of Education, OPEPD
1810

Enter only items that change
Current record

Agency form number (s)

-

0749

New record

Annual reporting and recordkeeping 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 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 non-substantive change is to rename the prefilled field "State Reporting Contact for
Elementary and Secondary School Emergency Relief Fund" to "State Director".
Signature of Senior Official or designee:

Sharon Boivin

Digitally signed by Sharon Boivin
Date: 2020.12.14 07:06:43 -05'00'

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

OMB 83-C

Date:

For OIRA Use
___________________________________
___________________________________

10/95