Change Justification Work Form

PAPERWORK REDUCTION ACT

CHANGE WORKSHEET

Agency/subagency

OMB Control Number

U.S Department of Education/Federal Student Aid
1845

Enter only items that change
Current record

Agency form number (s)

-

0153

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 Work Colleges Application and Agreement form is the tool for an institution to apply for participation as well as renew participation in this program.
This update introduces separate filing deadline dates for new applicants and returning applicants and updates the award year for which funding is being
requested. No new information is being requested, and there hasn't been a change in the number of respondents, responses or hours.

Signature of Senior Official or designee:

Beth Grebeldinger

Digitally signed by Beth Grebeldinger
Date: 2021.11.09 10:55:26 -05'00'

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

OMB 83-C

Date:

11/9/2021

For OIRA Use
___________________________________
___________________________________

10/95