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pdfPAPERWORK REDUCTION ACT
CHANGE WORKSHEET
Program for International Student Assessment 2015 (PISA:2015) Main Study Change Request
Agency/Subagency
OMB Control Number
U.S. Department of Education, Institute of Education Sciences
1850-0755 v.17
Current Record
New Record
NA
NA
17,616
20,445
17,616
20,445
10,671
10,671
Agency form number(s)
Annual reporting and record keeping hour
burden
Number of respondent
Total annual responses
Percent of these responses
collected electronically
Total annual hours
Difference
0
Explanation of difference
Program change
0
0
Adjustment
Annual reporting and record keeping cost
burden (in thousands of dollars)
Total annualized capital/startup
costs
Total annual costs (O&M)
Total annualized cost requested
Difference
NA
NA
NA
NA
NA
NA
NA
Explanation of difference
NA
NA
Program change
Adjustment
Other change**
The Program for International Student Assessment 2015 (PISA:2015) Main Study was approved by OMB on April 1,
2015. This change request is to complete the approved record with documents reviewed and approved by OMB.
Signature of Senior Official or designee:
Date:
April 22, 2015
For OIRA Use
_________________________________
_________________________________
**This form cannot be used to extend an expiration date
OMB 83-C
| File Type | application/pdf |
| File Title | PAPERWORK REDUCTION ACT CHANGE WORKSHEET |
| Author | I.R.G. |
| File Modified | 2015-04-22 |
| File Created | 2015-04-22 |