Change Justification 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)

-

0113

New record

Annual reporting and recordkeeping hour
burden
Number of respondents

104

137

Total annual responses

104

137

Percent of these responses
collected electronically
Total annual hours

100

%

%

208

274

Difference

+66

Explanation of difference

Increase in institutions using the program.

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

8,379

6,078

Difference

+2,301

Explanation of difference

Increase in hours due to usage and in salary per hour from $29.22 to $30.58.

Program change
Adjustment
Other changes
This is a request for a simple change review to the approved 1845-0113 collection. There are no changes to the data that is collected. The form and
instructions are updated annually to reflect the current award year and date references. Minor wording changes have been made for clarity. The
respondents, responses and burden hours have increased due to more institutions participating in the program.

Signature of Senior Official or designee:

Beth Grebeldinger

Digitally signed by Beth Grebeldinger
Date: 2021.12.01 10:36:34 -05'00'

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

OMB 83-C

Date:

12-1-2021

For OIRA Use
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10/95