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pdfPAPERWORK REDUCTION ACT
CHANGE WORKSHEET
Agency/subagency
OMB Control Number
Corporation for National and Community Service
0035
3045
___ ___
___ ___ - ___
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Enter only items that change
Current record
New record
Agency form number (s)
424-NSSC
Annual reporting and recordkeeping hour
burden
Number of respondents
No difference
Total annual responses
No difference
Percent of these responses
collected electronically
%
No difference
Total annual hours
No difference
Difference
No difference
Explanation of difference
No difference
Program change
Adjustment
Annual reporting and recordkeeping cost
burden (in thousands of dollars)
No difference
Total annualized Capital/Startup costs
No difference
Total annual costs (O&M)
No difference
Total annualized cost requested
No difference
Difference
No difference
Explanation of difference
No difference
Program change
Adjustment
%
No difference
Other changes**
1. OMB examiner requested changing 'Boomer' to 'RSVP volunteers between ages 55 and 70 years old'. 2. OMB examiner
requested a change in a selection criteria question from '...outcomes' to 'requirements'. 3. We updated the table to include the
new objectives. 4. We added the definition of outcome. 5. We replaced a screen shot to show the updated Healthy Futures
objectives.
Signature of Senior Official or designee:
Date:
For OIRA Use
___________________________________
___________________________________
9-10-15
** This form cannot be used to extend an expiration date.
OMB 83-C
10/95
| File Type | application/pdf |
| File Title | Paperwork Reduction Act Submission (OMB 83-I) |
| Subject | Paperwork Reduction Act Submission (OMB 83-I) |
| Author | OMB |
| File Modified | 2015-09-10 |
| File Created | 1999-03-02 |