Change worksheet

PAPERWORK REDUCTION ACT

CHANGE WORKSHEET

Agency/Subagency       Department of Education, Office of Special Education and Rehabilitative Services		OMB Control Number 1820 -0659
Enter only items that change Current Record New Record
Agency form number(s)	     	     
Annual reporting and record keeping hour burden
Number of respondents	60	60     
Total annual responses	60	60
Percent of these responses collected electronically	97	97
Total annual hours	3,615	3,615
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**       The collection form now includes additional clarification edits (received from OESE, since September, 2008) to instructions for completing the data collection tables in the 2008-09 form.
S ignature of Senior Officer or designee:      	Date:      	For OIRA Use            

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

OMB 83-C