OMB 83 C Form

PAPERWORK REDUCTION ACT

CHANGE WORKSHEET

Agency/subagency

OMB Control Number

U.S Department of Education
-

Enter only items that change
Current record

Agency form number (s)

New record

Annual reporting and recordkeeping hour
burden
Number of respondents

570

570

Total annual responses

570

570

Percent of these responses
collected electronically
Total annual hours

100

%

855

100

%

855

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
This non-substantive change request includes updates to the program such as a change in title and clarification of program administration. The MOU for the Engage Every Student initiative will end on December
31, 2024. The U.S. Department of Education will retain and continue the Recognition Program to recognize (1) non-profit organizations working in collaboration with school district/local education agencies (LEAs),
(2) city municipalities or local government entities working in collaboration with school district/LEAs or (3) LEAs working in collaboration with non-profit organization or city municipalities that engage K-12 students in
high-quality afterschool or summer learning programming. The name of the Recognition Program will change from the Engage Every Student Recognition Program to the Out-of-School Time Recognition Program.

Signature of Senior Official or designee:

SHITAL SHAH

Digitally signed by SHITAL SHAH
Date: 2024.12.09 10:48:57 -05'00'

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

OMB 83-C

Date:

For OIRA Use
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10/95