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)

-

0158

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 request is to update address and phone number information on the six TEACH Certification and Suspension
documents. The format of the documents is also updated, there is no change in the information that is being collected.
Signature of Senior Official or designee:

BETH GREBELDINGER

Digitally signed by BETH GREBELDINGER
Date: 2024.05.21 13:53:58 -04'00'

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

OMB 83-C

Date:

5/21/2024

For OIRA Use
___________________________________
___________________________________

10/95