83C Justification Form

PAPERWORK REDUCTION ACT

CHANGE WORKSHEET

Agency/subagency

OMB Control Number

U.S Department of Education
Office of Elementary and Secondary Education

1810

Enter only items that change
Current record

Agency form number (s)

-

0021

New record

Annual reporting and recordkeeping hour
burden
Number of respondents
Total annual responses
Percent of these responses
collected electronically
Total annual hours

%

%

7050

6725

Difference

325

Explanation of difference

Clarifications in directions will decrease both pre- and post-award burden for the grantee.

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
The program office uses the Indian Parent Committee (IPC) Approval form to ensure that all Local Education Agencies (LEA) applicants developed the project with the participation of an IPC in
accordance with ESEA section 6114(c); and with the written approval of that committee (ESEA Section 6114(c)(4)). The proposed instruction clarifications will decrease both pre- and post-award
burden for the grantee because of the reduced amount of time required to read and respond to the previous unclear directions on the form (pre-award), and/or participate in targeted technical
assistance and/or monitoring due to incorrect completion of the unclear form instructions.

Signature of Senior Official or designee:

ANDREW BRAKE

Digitally signed by ANDREW BRAKE
Date: 2023.01.05 13:46:23 -05'00'

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

OMB 83-C

Date:

1/5/2023

For OIRA Use
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10/95