Change Justification Worksheet

PAPERWORK REDUCTION ACT

CHANGE WORKSHEET

Agency/subagency

OMB Control Number

U.S Department of Education
OESE

1810

Enter only items that change
Current record

Agency form number (s)

-

0765

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 Education Stabilization Fund- Emergency Assistance for Non-Public Schools (EANS) Program Recipient Annual Reporting Data Collection Form is being updated for fiscal year 2022
reporting. The form is updated to replicate questions for American Rescue Plan (ARP) EANS funds in the appropriate reporting period. In addition, questions related to the low-income population
from a school are eliminated since they are no longer relevant to the ARP EANS program. These change would reduce the number of questions in the section. With the addition to the ARP
questions and elimination of the low income questions, there is no change in the current burden.

Signature of Senior Official or designee:

ANDREW BRAKE

Digitally signed by ANDREW BRAKE
Date: 2022.11.14 12:03:54 -05'00'

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

OMB 83-C

Date:

11/14/2022

For OIRA Use
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