PAPERWORK REDUCTION ACT
CHANGE WORKSHEET
Agency/Subagency 
 U.S. Department of Education, National Center for Education Statistics 
  | 
			OMB Control Number 
 1850-0803 v.13  | 
		|
				  | 
			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  | 
			3540  | 
			3540  | 
		
Total annual responses  | 
			3540  | 
			3540  | 
		
Percent of these responses collected electronically  | 
			
				 12%  | 
			
				 12%  | 
		
Total annual hours  | 
			4442  | 
			4442  | 
		
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  | 
			$0.00  | 
			$0-  | 
		
Total annual costs (O&M)  | 
			$0.00  | 
			$0  | 
		
Total annualized cost requested  | 
			$0.00  | 
			$0  | 
		
Difference  | 
			
				  | 
			$0  | 
		
 Explanation of difference 
  | 
			
				  | 
			
				  | 
		
Program change  | 
			
				  | 
			NA  | 
		
Adjustment  | 
			NA  | 
		|
Other change** 
 The purpose of this change form is to make minor changes to some of the survey items on the principal mobility survey and the former principal survey. . The changes that are requested are meant to clarify the survey items and are not expected to change the response burden. These changes include: 
 
 
 These changes are described in the accompanying memo to OMB and are reflected in the revised survey instruments. 
 
 
 
 
 
 
  | 
		||
Signature of Senior Official or designee: 
 
  | 
			Date:  | 
			For OIRA Use 
 _________________________________ 
 _________________________________  | 
		
**This form cannot be used to extend an expiration date
OMB 83-C
| File Type | application/msword | 
| File Title | PAPERWORK REDUCTION ACT CHANGE WORKSHEET | 
| Author | I.R.G. | 
| Last Modified By | #Administrator | 
| File Modified | 2008-12-19 | 
| File Created | 2008-12-19 |