OMB 83 C Form

PAPERWORK REDUCTION ACT

CHANGE WORKSHEET

Agency/subagency

OMB Control Number

U.S Department of Education / Institute of Education Sciences,
National Center for Education Evaluation

1850

Enter only items that change
Current record

Agency form number (s)

-

0952

New record

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

%

%

3,000

3,500

Difference

500

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 is for an adjustment in the respondent burden hours for the first year, 2023–2024, to allow
an additional information collection that would increase the cumulative total from 3,000 to 3,500 hours.
Signature of Senior Official or designee:

MICHAEL FONG

Digitally signed by MICHAEL FONG
Date: 2024.11.07 15:20:11 -05'00'

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

OMB 83-C

Date:

11-07-2024

For OIRA Use
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10/95