OMB83C Change Form

PAPERWORK REDUCTION ACT

CHANGE WORKSHEET

Agency/subagency

OMB Control Number

U.S. Department of Education/Office of Postsecondary Education

0843
1840
___ ___
___ ___ - ___
___ ___ ___

Enter only items that change
Current record

New record

Agency form number (s)

Annual reporting and recordkeeping hour
burden
Number of respondents

2683

2733

Total annual responses

2683

2733

Percent of these responses
collected electronically
Total annual hours

%
2898

%
3185

Difference

287 hours

Explanation of difference

50 applicants x 5 hours = 250 hours

Program change
Adjustment
Annual reporting and recordkeeping cost
burden (in thousands of dollars)

37 hours to correct previous submission

Total annualized Capital/Startup costs
Total annual costs (O&M)
Total annualized cost requested
Difference
Explanation of difference
Program change
Adjustment
Other changes**

Respondent and burden increases are for grantees who did not receive funding under section 18004(a)(2) of the CARES Act
or section 314(a)(2) of CRRSAA but will be eligible to apply for similar funding under section 2003(a)(2) of ARP. We expect
50 applicants at 5 hours each, for a total of 250 hours, plus 37 hours to correct a previous submission.
Signature of Senior Official or designee:
signed by Lauren Kennedy
Lauren Kennedy Digitally
Date: 2021.07.21 17:57:22 -04'00'

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

OMB 83-C

Date:

For OIRA Use
___________________________________
___________________________________

10/95