Change Justification Worksheet

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)

-

0089

New record

Form 270 Request for Title IV
Reimbursement or Heightened
Cash Monitoring 2 (HCM2)
Annual reporting and recordkeeping hour
burden
Number of respondents

732

Total annual responses

1

Percent of these responses
collected electronically
Total annual hours

%

%

732

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
FSA is requesting the approval of an addition of a prepopulated field, a Unique Entity Identifier (UEI), and related instructions, to the form 270. This
change will not require additional burden to the institutions who are required to submit the form. The information will be used for additional identification
of the institution,as required per GSA Federal Register Notice 2019-14665 published 7/10/2019.

Signature of Senior Official or designee:

Beth Grebeldinger

Digitally signed by Beth Grebeldinger
Date: 2022.03.23 09:41:40 -04'00'

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

OMB 83-C

Date:

3/23/2022

For OIRA Use
___________________________________
___________________________________

10/95