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pdfPAPERWORK REDUCTION ACT
CHANGE WORKSHEET
Agency/subagency
OMB Control Number
U.S Department of Education
1830
Enter only items that change
Current record
Agency form number (s)
-
0569
New record
Annual reporting and recordkeeping hour
burden
Number of respondents
54
54
Total annual responses
54
54
Percent of these responses
collected electronically
Total annual hours
100
%
1,296
100
%
9558
Difference
8262
Explanation of difference
Program change
Adjustment
Annual reporting and recordkeeping cost
burden (in thousands of dollars)
8262
Total annualized Capital/Startup costs
0
0
Total annual costs (O&M)
0
0
Total annualized cost requested
Difference
Explanation of difference
Program change
Adjustment
Other changes
This action is to make the burden hours identified for this ICR consistent with the May 2019 Supporting
Statement.
Signature of Senior Official or designee:
BRADEN GOETZ
Digitally signed by BRADEN GOETZ
Date: 2021.07.13 08:53:53 -04'00'
** This form cannot be used to extend an expiration date.
OMB 83-C
Date:
For OIRA Use
___________________________________
___________________________________
10/95
| File Type | application/pdf |
| File Title | Paperwork Reduction Act Submission (OMB 83-I) |
| Subject | Paperwork Reduction Act Submission (OMB 83-I) |
| Author | OMB |
| File Modified | 2021-07-13 |
| File Created | 2012-01-09 |