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pdfPAPERWORK REDUCTION ACT
CHANGE WORKSHEET
Agency/Subagency
OMB Control Number
1810-0760
Office of Elementary and Secondary Education
US Department of Education
Enter only items that change
Current Record
New Record
Number of respondents
53
53
Total annual responses
53
53
Agency form number(s)
Annual reporting and record keeping
hour burden
Percent of these responses
collected electronically
100
Total annual hours
53
100
53
Difference
Explanation of difference
Program Change
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**
The Department decided to remove some extraneous text from the document. There are no changes to the information
that respondents will provide the Department.
Signature of Senior Officer or
designee:
Date:
For OIRA Use
July 2, 2021
**This form cannot be used to extend an expiration date
OMB 83-C
| File Type | application/pdf |
| File Title | OMB Form 83C |
| Subject | Clearance Package change worksheet |
| Author | James Vaughan |
| File Modified | 2021-07-02 |
| File Created | 2021-07-02 |