83C 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)

-

0058

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
This is a request for a simple change (83C). The only change is a revision of the Privacy Act Notice (retitled “Privacy Act Statement”) to reflect the most
recent updates to our systems of records notices. This change updates language, it does not request any new information, with no change to the
burden hour estimate for the collection.

Signature of Senior Official or designee:

BETH GREBELDINGER

Digitally signed by BETH GREBELDINGER
Date: 2024.01.11 08:49:20 -05'00'

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

OMB 83-C

Date:

1/11/2024

For OIRA Use
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10/95