83C Justification Worksheet

HEERF QBER 83C 9.23.21 signed.pdf

Quarterly Budget and Expenditure Reporting under CARES Act Sections 18004(a)(1) Institutional Portion, 18004(a)(2), and 18004(a)(3)

83C Justification Worksheet

OMB: 1840-0849

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PAPERWORK REDUCTION ACT

CHANGE WORKSHEET

Agency/subagency

OMB Control Number

U.S. Department of Education/Office of Postsecondary Education
Enter only items that change
Current record

0849
1840
___ ___
___ ___ - ___
___ ___ ___

New record

Agency form number (s)

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 instructions for this currently approved collection have been modified to increase the clarity of information provided to the
respondent. There are no changes to the report itself, nor will these clarified instructions have any impact on burden.
Signature of Senior Official or designee:
signed by LAUREN KENNEDY
LAUREN KENNEDY Digitally
Date: 2021.09.23 10:50:40 -04'00'

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

OMB 83-C

Date:

9/23/21

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 Modified2021-09-23
File Created1999-03-02

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