83C Change Justification Form

PAPERWORK REDUCTION ACT

CHANGE WORKSHEET

Agency/subagency

OMB Control Number

U.S Department of Education, OESE
1810

Agency form number (s)

Enter only items that change
Current record

-

0749

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 purpose of this non-substantive change is a minor numbering change by moving question 2.6g of the form to its new placement at question 2.2c.
Note, this move also requires changes to previously numbered questions 2.2c and 2.2d, as well as the skip logic referencing previously numbered
question 2.2c.

Signature of Senior Official or designee:
signed by MARCOS CERDEIRA
MARCOS CERDEIRA Digitally
Date: 2022.02.01 09:19:09 -05'00'

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

OMB 83-C

Date:

2/1/2022

For OIRA Use
___________________________________
___________________________________

10/95