OMB 83 C Change Worksheet

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)

-

0982

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 change the incentive amount and payment structure paid to teachers for their completion of logs in the upcoming spring 2025 round
of data collection. The memo outlines the request to 1) increase the amount and 2) pay the incentive after submission of each log instead of as one
lump sum.

Signature of Senior Official or designee:

MATTHEW SOLDNER

Digitally signed by MATTHEW SOLDNER
Date: 2024.11.19 01:27:55 -05'00'

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

OMB 83-C

Date:

For OIRA Use
___________________________________
___________________________________

10/95