83-C Change Sheet

PAPERWORK REDUCTION ACT

CHANGE WORKSHEET

Agency/subagency

OMB Control Number

U.S Department of Education/OESE
1855

Enter only items that change
Current record

Agency form number (s)

-

0015

New record

Annual reporting and recordkeeping hour
burden
Number of respondents

3000

3000

Total annual responses

3000

3000

Percent of these responses
collected electronically
Total annual hours

100

%

1000

100

%

1000

Difference

0

Explanation of difference
Program change
Adjustment
Annual reporting and recordkeeping cost
burden (in thousands of dollars)
Total annualized Capital/Startup costs
Total annual costs (O&M)
Total annualized cost requested
Difference
Explanation of difference
Program change
Adjustment
Other changes
This request will have a 30 day public comment period providing the public an opportunity to review and comment on the addition of two revised
questions to the DC School Choice Application. These previously approved questions are revised to provide more options in response to the questions.
There are no changes in burden or responses.

Signature of Senior Official or designee:

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

OMB 83-C

Date:

For OIRA Use
___________________________________
___________________________________

10/95