Change Worksheet

OMB 83C GEER.pdf

Education Stabilization Fund- Governor's Emergency Education Relief Fund (GEER) Recipient Data Collection Form

Change Worksheet

OMB: 1810-0748

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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)

-

0748

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 Program
Representative Name" to "State Director".
Signature of Senior Official or designee:

Sharon Boivin

Digitally signed by Sharon Boivin
Date: 2020.12.14 07:07:19 -05'00'

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

OMB 83-C

Date:

For OIRA Use
___________________________________
___________________________________

10/95



File Typeapplication/pdf
File TitlePaperwork Reduction Act Submission (OMB 83-I)
SubjectPaperwork Reduction Act Submission (OMB 83-I)
AuthorOMB
File Modified2020-12-14
File Created2012-01-09

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