PAPERWORK REDUCTION ACT
CHANGE WORKSHEET
Agency/Subagency 
 U.S. Department of Education/IES  | 
				OMB Control Number 
 1894-0006 v. 9 
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Enter only items that change Current Record New Record  | 
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Agency form number(s) 
 
 
 
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Annual reporting and record keeping hour burden  | 
				
					 
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			|
Number of respondents  | 
				10,689  | 
				10,743  | 
			
Total annual responses  | 
				10,689  | 
				10,743  | 
			
Percent of these responses collected electronically  | 
				
					 75%  | 
				
					 75% 
  | 
			
Total annual hours  | 
				407,310  | 
				410,550  | 
			
Difference  | 
				
					  | 
				
					  | 
			
					 Explanation of difference 
 Program Change | 
				
					  | 
				
					 3,240 
  | 
			
Adjustment  | 
				
					  | 
				3, 240  | 
			
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 
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Adjustment  | 
				
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				NA  | 
			
Other change** The purpose of this change sheet is to include the application for grants for the FY 2009 Statewide Longitudinal Data Systems Recovery Act grant program, CFDA # 84.384A, to the generic grant application, under 1894-0006. 
 
 
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				Date: 
 
 
 
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				For OIRA Use 
 
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**This form cannot be used to extend an expiration date
OMB 83-C
| File Type | application/msword | 
| File Title | OMB Form 83C | 
| Subject | Clearance Package change worksheet | 
| Author | James Vaughan | 
| Last Modified By | #Administrator | 
| File Modified | 2009-07-20 | 
| File Created | 2009-07-20 |