83C Change Sheet

PAPERWORK REDUCTION ACT

CHANGE WORKSHEET

Agency/subagency

OMB Control Number

U.S Department of Education
1850

Enter only items that change
Current record

Agency form number (s)

-

0985

New record

Annual reporting and recordkeeping hour
burden
Number of respondents

342

321

Total annual responses

1,705

1372

Percent of these responses
collected electronically
Total annual hours

%
416

%
199

Difference

-297

Explanation of difference

Contacting more people for recruitment, fewer for data collection

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
We (1) moved from a randomized controlled trial to an implementation study, decreasing our sample size by half and decreasing some of the data
collection; (2) expanded recruitment into California; (3) adjusted incentive amounts and funds provided to schools; and (4) updated the list of options in
a drop-down menu. Please see memo for more detail and justification.

Signature of Senior Official or designee:

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

OMB 83-C

Date:

For OIRA Use
___________________________________
___________________________________

10/95