83C Change Sheet

PAPERWORK REDUCTION ACT

CHANGE WORKSHEET

Agency/Subagency U.S. Department of Education, OII		OMB Control Number 1855-0011
	Enter only items that change Current Record	New Record
Agency form number(s)	NA	NA
Annual reporting and record keeping hour burden
Number of respondent	150	150
Total annual responses	150	150
Percent of these responses collected electronically	100%	100%
Total annual hours	6,000	6,000
Difference		0
Explanation of difference
Program change		0
Adjustment		0
Annual reporting and record keeping cost burden (in thousands of dollars)
Total annualized capital/startup costs	NA	NA
Total annual costs (O&M)	NA	NA
Total annualized cost requested	NA	NA
Difference		NA
Explanation of difference
Program change		NA
Adjustment		NA
Other change** The purpose of this change sheet is to request an amendment to the currently approved information collection, Magnet Schools Assistance Program Application for Grants, 1855-0011. The selection criteria for this grant program is changing and is attached; and we are requesting approval under the 1890-0006 process. There is no change in the burden hours as a result of these changes.
Signature of Senior Official or designee:	Date:	For OIRA Use _________________________________ _________________________________

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

OMB 83-C