OMB83 C request

PAPERWORK REDUCTION ACT

CHANGE WORKSHEET

Agency/Subagency       ED/IES/NCES		OMB Control Number 1850     -    0755 v. 5
Enter only items that change Current Record New Record
Agency form number(s)	     	     
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.     0%
Total annual hours	2690     	2690     
Difference		     0
Explanation of difference Program Change		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**       This is a request for approval of a nonsubstantive change to the current PISA clearance. We are requesting permission to sample and recruit schools for the field test of the PISA. Sampling plan and other details are in attached materials.
Signature of Senior Officer or designee:      	Date:      	For OIRA Use            

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

OMB 83-C