Program for International Student Assessment (PISA)

PAPERWORK REDUCTION ACT

CHANGE WORKSHEET

Agency/Subagency ED/IES/NCES      		OMB Control Number 1850     -    0755
Enter only items that change Current Record New Record
Agency form number(s)	     N/A	     N/A
Annual reporting and record keeping hour burden
Number of respondents	4629     	4629     
Total annual responses	4629     	4629     
Percent of these responses collected electronically	0     	0     
Total annual hours	2690     	     2690
Difference		     0
Explanation of difference Program Chage		     0
Adjustment		     0
Annual reporting and record keeping cost burden (in thousands of dollars)
Total annualized capital/startup costs	     0	0     
Total annual costs (O&M)	     0	0     
Total annualized cost requested	     0	0     
Difference		0     
Explanation of difference Program Change		      0
Adjustment		     0
Other change** ED is req     Requesting change in incentives offered for participants in the PISA study as described in attached paperthe memo. There is no change in burden.
Signature of Senior Officer or designee:      	Date:      	For OIRA Use            

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

OMB 83-C