PAPERWORK REDUCTION ACT
CHANGE WORKSHEET
| Agency/Subagency 
 
 Department of Education | OMB Control Number 
 1840-0807 
 | |
| Enter only items that change Current Record New Record | ||
| Agency form number(s) 
 
 
 
 | 
					 
 | 
					 
 | 
| Annual reporting and record keeping hour burden | 
					 
 | |
| Number of respondents | 165 | 165 | 
| Total annual responses | 1 | 1 | 
| Percent of these responses collected electronically | 100% | 100% 
 | 
| Total annual hours | 17,325 | 13,200 | 
| Difference | 
					 | 4,125 | 
| 
					 Explanation of difference 
 Program Change | 
					 | Agency Discretion | 
| Adjustment | 
					 | 
 | 
| Annual reporting and record keeping 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 change** 
 
 
 | ||
| Signature of Senior Officer or designee: 
 
 
 Sara Starke 
 | Date: 
 
 
 03/18/2021 | For OIRA Use 
					 
 | 
**This form cannot be used to extend an expiration date
OMB 83-C
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document | 
| File Title | OMB Form 83C | 
| Subject | Clearance Package change worksheet | 
| Author | James Vaughan | 
| File Modified | 0000-00-00 | 
| File Created | 2021-04-09 |