83C Justification Worksheet

PAPERWORK REDUCTION ACT

CHANGE WORKSHEET

Agency/subagency

OMB Control Number

U.S Department of Education
1810

Enter only items that change
Current record

Agency form number (s)

-

0765

New record

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

%

%

Total annual hours
Difference
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
We are recommending minor technical edits to this ICR that do not have an impact on respondent burden. These edits are being implemented to assist
respondents with providing accurate information and to reduce the need for corrections and further clarifications. These minor edits will not require new
or additional information from respondents.

Signature of Senior Official or designee:

ANDREW BRAKE

Digitally signed by ANDREW BRAKE
Date: 2023.12.12 12:26:54 -05'00'

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

OMB 83-C

Date:

For OIRA Use
___________________________________
___________________________________

10/95