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)

-

0152

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
Work Colleges participants are required to report expenditure of funds annually. The data collected is in this report is used by the Department to monitor program effectiveness and accountability
of fund expenditures. The data is used in conjunction with institutional program reviews to assess the administrative capability and compliance of the applicant. This request is to update the award
year for which the participating institutions are submitting the expenditure report as well as an update to the address where the report should be submitted. No change has been made to the
respondents/responses or burden hours.

Signature of Senior Official or designee:

Beth Grebeldinger

Digitally signed by Beth Grebeldinger
Date: 2021.11.09 10:35:42 -05'00'

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

OMB 83-C

Date:

11/9/2021

For OIRA Use
___________________________________
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10/95