OMB Change Worksheet_Teacher Video Contest

PAPERWORK REDUCTION ACT

CHANGE WORKSHEET

Agency/Subagency Office of Communications and Outreach		OMB Control Number 1860-0507
Enter only items that change Current Record New Record
Agency form number(s)	1860 - 0507	     
Annual reporting and record keeping hour burden
Number of respondents	500	750     
Total annual responses	500	750     
Percent of these responses collected electronically	0.00%	     
Total annual hours	2,667	4,001
Difference		1,334     
Explanation of difference Program Change		1,334
Adjustment		     
Annual reporting and record keeping cost burden (in thousands of dollars)
Total annualized capital/startup costs	$0.00	     
Total annual costs (O&M)	$0.00	     
Total annualized cost requested	$0.00	     
Difference		     
Explanation of difference Program Change		     
Adjustment		     
Other change** This change reflects a new title for the next contest, “My Favorite Teacher”, and an increase in respondents. The increase includes 112 responses that were received from the first contest and an additional 138 respondents for the January contest for a total of 750 annual responses. This results in an increase of 1,334 hours. The forms will not change for this contest.
Signature of Senior Officer or designee:      	Date:      	For OIRA Use            

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

OMB 83-C