Paperwork Reduction Act Submission (OMB 83-I)

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PAPERWORK REDUCTION ACT
CHANGE WORKSHEET
Agency/subagency

OMB Control Number

U.S. Department of Education/Office of Postsecondary Education

0550
1840
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___ ___ - ___
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Enter only items that change
Current record

New record

%

%

Agency form number (s)

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**
ED is requesting that OMB consider a change request that would update ICR #1840-0550 to include only the Upward Bound Program
Profile and Program Assurances. Other information contained in the currently approved version of the Upward Bound application booklet,
including standard forms and any sections not required by the PRA and not related to the program-specific forms listed above, will be
included in the Application Notice and Instructions as appropriate. There is no change to the information being collected or the burden.

Signature of Senior Official or designee:

** This form cannot be used to extend an expiration date.
OMB 83-C

Date:

For OIRA Use
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10/95