OMB83c

PAPERWORK REDUCTION ACT

CHANGE WORKSHEET

Agency/Subagency U.S. Department of Education, NCES		OMB Control Number 1850-0631 v5.
	Enter only items that change Current Record	New Record
Agency form number(s)	NA	NA
Annual reporting and record keeping hour burden
Number of respondent	863	863
Total annual responses	1000	1000
Percent of these responses collected electronically	100%	100%
Total annual hours	383	383
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	NA	NA
Total annual costs (O&M)	NA	NA
Total annualized cost requested	NA	NA
Difference		NA
Explanation of difference
Program change		NA
Adjustment		NA
Other change** The purpose of this change sheet is to request an amendment to the currently approved information collection, BPS 1850-0631 to increase the incentive for the field test from $30 to $40. These proposed amendments are explained in the attached memo.
Signature of Senior Official or designee:	Date:	For OIRA Use _________________________________ _________________________________

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

OMB 83-C