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+---+------------------------+-------+---+-------------------------------+---+
| 1 |                        | 2\.   |   |                               |   |
| \ |                        | EDICS |   |                               |   |
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| 4 |                        |       |   | 4a. Is this a request for a   |   |
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| T |                        |       |   | **Yes** **No** **NA**         |   |
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|   | 8\. Does the           |       |   |                               |   |
|   | Supporting Statement   |       |   |                               |   |
|   | serve as a Joint ICR   |       |   |                               |   |
|   | and Privacy Impact     |       |   |                               |   |
|   | Assessment per OMB     |       |   |                               |   |
|   | Memorandum             |       |   |                               |   |
|   | 03-http://ww           |       |   |                               |   |
|   | w.whitehouse.gov/omb/m |       |   |                               |   |
|   | emoranda/m03-22.html), |       |   |                               |   |
|   | Section II.D.? Yes No  |       |   |                               |   |
|   | NA                     |       |   |                               |   |
+---+------------------------+-------+---+-------------------------------+---+
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| n |                        |       |   |                               |   |
| g |                        |       |   |                               |   |
| s |                        |       |   |                               |   |
| k |                        |       |   |                               |   |
| i |                        |       |   |                               |   |
| l |                        |       |   |                               |   |
| l |                        |       |   |                               |   |
| s |                        |       |   |                               |   |
| o |                        |       |   |                               |   |
| f |                        |       |   |                               |   |
| s |                        |       |   |                               |   |
| t |                        |       |   |                               |   |
| u |                        |       |   |                               |   |
| d |                        |       |   |                               |   |
| e |                        |       |   |                               |   |
| n |                        |       |   |                               |   |
| t |                        |       |   |                               |   |
| s |                        |       |   |                               |   |
| n |                        |       |   |                               |   |
| o |                        |       |   |                               |   |
| t |                        |       |   |                               |   |
| l |                        |       |   |                               |   |
| a |                        |       |   |                               |   |
| t |                        |       |   |                               |   |
| e |                        |       |   |                               |   |
| r |                        |       |   |                               |   |
| t |                        |       |   |                               |   |
| h |                        |       |   |                               |   |
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| n |                        |       |   |                               |   |
| 3 |                        |       |   |                               |   |
| y |                        |       |   |                               |   |
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| f |                        |       |   |                               |   |
| t |                        |       |   |                               |   |
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| r |                        |       |   |                               |   |
| t |                        |       |   |                               |   |
| h |                        |       |   |                               |   |
| e |                        |       |   |                               |   |
| d |                        |       |   |                               |   |
| a |                        |       |   |                               |   |
| t |                        |       |   |                               |   |
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| f |                        |       |   |                               |   |
| t |                        |       |   |                               |   |
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| e |                        |       |   |                               |   |
| n |                        |       |   |                               |   |
| a |                        |       |   |                               |   |
| c |                        |       |   |                               |   |
| t |                        |       |   |                               |   |
| m |                        |       |   |                               |   |
| e |                        |       |   |                               |   |
| n |                        |       |   |                               |   |
| t |                        |       |   |                               |   |
| o |                        |       |   |                               |   |
| f |                        |       |   |                               |   |
| t |                        |       |   |                               |   |
| h |                        |       |   |                               |   |
| e |                        |       |   |                               |   |
| N |                        |       |   |                               |   |
| o |                        |       |   |                               |   |
| C |                        |       |   |                               |   |
| h |                        |       |   |                               |   |
| i |                        |       |   |                               |   |
| l |                        |       |   |                               |   |
| d |                        |       |   |                               |   |
| L |                        |       |   |                               |   |
| e |                        |       |   |                               |   |
| f |                        |       |   |                               |   |
| t |                        |       |   |                               |   |
| B |                        |       |   |                               |   |
| e |                        |       |   |                               |   |
| h |                        |       |   |                               |   |
| i |                        |       |   |                               |   |
| n |                        |       |   |                               |   |
| d |                        |       |   |                               |   |
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| c |                        |       |   |                               |   |
| t |                        |       |   |                               |   |
| o |                        |       |   |                               |   |
| f |                        |       |   |                               |   |
| 2 |                        |       |   |                               |   |
| 0 |                        |       |   |                               |   |
| 0 |                        |       |   |                               |   |
| 1 |                        |       |   |                               |   |
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| n |                        |       |   |                               |   |
| n |                        |       |   |                               |   |
| i |                        |       |   |                               |   |
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| l |                        |       |   |                               |   |
| y |                        |       |   |                               |   |
| t |                        |       |   |                               |   |
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| a |                        |       |   |                               |   |
| f |                        |       |   |                               |   |
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| . |                        |       |   |                               |   |
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| h |                        |       |   |                               |   |
| i |                        |       |   |                               |   |
| s |                        |       |   |                               |   |
| i |                        |       |   |                               |   |
| n |                        |       |   |                               |   |
| f |                        |       |   |                               |   |
| o |                        |       |   |                               |   |
| r |                        |       |   |                               |   |
| m |                        |       |   |                               |   |
| a |                        |       |   |                               |   |
| t |                        |       |   |                               |   |
| i |                        |       |   |                               |   |
| o |                        |       |   |                               |   |
| n |                        |       |   |                               |   |
| c |                        |       |   |                               |   |
| o |                        |       |   |                               |   |
| l |                        |       |   |                               |   |
| l |                        |       |   |                               |   |
| e |                        |       |   |                               |   |
| c |                        |       |   |                               |   |
| t |                        |       |   |                               |   |
| i |                        |       |   |                               |   |
| o |                        |       |   |                               |   |
| n |                        |       |   |                               |   |
| i |                        |       |   |                               |   |
| s |                        |       |   |                               |   |
| o |                        |       |   |                               |   |
| n |                        |       |   |                               |   |
| e |                        |       |   |                               |   |
| o |                        |       |   |                               |   |
| f |                        |       |   |                               |   |
| t |                        |       |   |                               |   |
| h |                        |       |   |                               |   |
| r |                        |       |   |                               |   |
| e |                        |       |   |                               |   |
| e |                        |       |   |                               |   |
| s |                        |       |   |                               |   |
| o |                        |       |   |                               |   |
| u |                        |       |   |                               |   |
| r |                        |       |   |                               |   |
| c |                        |       |   |                               |   |
| e |                        |       |   |                               |   |
| s |                        |       |   |                               |   |
| o |                        |       |   |                               |   |
| f |                        |       |   |                               |   |
| d |                        |       |   |                               |   |
| a |                        |       |   |                               |   |
| t |                        |       |   |                               |   |
| a |                        |       |   |                               |   |
| f |                        |       |   |                               |   |
| o |                        |       |   |                               |   |
| r |                        |       |   |                               |   |
| t |                        |       |   |                               |   |
| h |                        |       |   |                               |   |
| e |                        |       |   |                               |   |
| C |                        |       |   |                               |   |
| o |                        |       |   |                               |   |
| n |                        |       |   |                               |   |
| g |                        |       |   |                               |   |
| r |                        |       |   |                               |   |
| e |                        |       |   |                               |   |
| s |                        |       |   |                               |   |
| s |                        |       |   |                               |   |
| i |                        |       |   |                               |   |
| o |                        |       |   |                               |   |
| n |                        |       |   |                               |   |
| a |                        |       |   |                               |   |
| l |                        |       |   |                               |   |
| l |                        |       |   |                               |   |
| y |                        |       |   |                               |   |
| m |                        |       |   |                               |   |
| a |                        |       |   |                               |   |
| n |                        |       |   |                               |   |
| d |                        |       |   |                               |   |
| a |                        |       |   |                               |   |
| t |                        |       |   |                               |   |
| e |                        |       |   |                               |   |
| d |                        |       |   |                               |   |
| p |                        |       |   |                               |   |
| r |                        |       |   |                               |   |
| o |                        |       |   |                               |   |
| g |                        |       |   |                               |   |
| r |                        |       |   |                               |   |
| a |                        |       |   |                               |   |
| m |                        |       |   |                               |   |
| e |                        |       |   |                               |   |
| v |                        |       |   |                               |   |
| a |                        |       |   |                               |   |
| l |                        |       |   |                               |   |
| u |                        |       |   |                               |   |
| a |                        |       |   |                               |   |
| t |                        |       |   |                               |   |
| i |                        |       |   |                               |   |
| o |                        |       |   |                               |   |
| n |                        |       |   |                               |   |
| . |                        |       |   |                               |   |
+---+------------------------+-------+---+-------------------------------+---+

<table style="width:100%;">
<colgroup>
<col style="width: 2%" />
<col style="width: 1%" />
<col style="width: 0%" />
<col style="width: 0%" />
<col style="width: 1%" />
<col style="width: 0%" />
<col style="width: 0%" />
<col style="width: 0%" />
<col style="width: 0%" />
<col style="width: 1%" />
<col style="width: 1%" />
<col style="width: 1%" />
<col style="width: 0%" />
<col style="width: 1%" />
<col style="width: 0%" />
<col style="width: 0%" />
<col style="width: 2%" />
<col style="width: 1%" />
<col style="width: 0%" />
<col style="width: 2%" />
<col style="width: 0%" />
<col style="width: 1%" />
<col style="width: 0%" />
<col style="width: 0%" />
<col style="width: 0%" />
<col style="width: 2%" />
<col style="width: 0%" />
<col style="width: 1%" />
<col style="width: 0%" />
<col style="width: 0%" />
<col style="width: 0%" />
<col style="width: 0%" />
<col style="width: 0%" />
<col style="width: 1%" />
<col style="width: 0%" />
<col style="width: 1%" />
<col style="width: 1%" />
<col style="width: 0%" />
<col style="width: 2%" />
<col style="width: 4%" />
<col style="width: 0%" />
<col style="width: 1%" />
<col style="width: 5%" />
<col style="width: 0%" />
<col style="width: 0%" />
<col style="width: 0%" />
<col style="width: 1%" />
<col style="width: 0%" />
<col style="width: 2%" />
<col style="width: 3%" />
<col style="width: 2%" />
<col style="width: 0%" />
<col style="width: 0%" />
<col style="width: 2%" />
<col style="width: 0%" />
<col style="width: 11%" />
<col style="width: 0%" />
<col style="width: 2%" />
<col style="width: 1%" />
<col style="width: 6%" />
<col style="width: 1%" />
<col style="width: 6%" />
<col style="width: 1%" />
<col style="width: 0%" />
<col style="width: 0%" />
<col style="width: 1%" />
</colgroup>
<tbody>
<tr class="odd">
<td colspan="3">11.</td>
<td colspan="59">Authorizing Statute(s):</td>
<td colspan="4"></td>
</tr>
<tr class="even">
<td colspan="3"></td>
<td colspan="6">a.</td>
<td colspan="9"><blockquote>
<p>US Code</p>
</blockquote></td>
<td colspan="9">20</td>
<td colspan="9">USC</td>
<td colspan="10">6383</td>
<td colspan="7">Name of Law:</td>
<td colspan="9">Elementary and Secondary Education Act of 1965, as
amended, Title I, Part B, Subpart 4, Sec. 1251.</td>
<td colspan="4"></td>
</tr>
<tr class="odd">
<td colspan="3"></td>
<td colspan="6"></td>
<td colspan="9"><blockquote>
<p>US Code</p>
</blockquote></td>
<td colspan="9">     </td>
<td colspan="9">USC</td>
<td colspan="10">     </td>
<td colspan="7">Name of Law:</td>
<td colspan="9">     </td>
<td colspan="4"></td>
</tr>
<tr class="even">
<td colspan="62"></td>
<td colspan="4"></td>
</tr>
<tr class="odd">
<td colspan="62"></td>
<td colspan="4"></td>
</tr>
<tr class="even">
<td colspan="3"></td>
<td colspan="6"><blockquote>
<p>b.</p>
</blockquote></td>
<td colspan="9"><blockquote>
<p>PL</p>
</blockquote></td>
<td colspan="5">Pub L</td>
<td colspan="10">     </td>
<td></td>
<td colspan="5">     </td>
<td>Sec</td>
<td colspan="5">     </td>
<td colspan="8">Name of Law:</td>
<td colspan="9">     </td>
<td colspan="4"></td>
</tr>
<tr class="odd">
<td colspan="3"></td>
<td colspan="6"></td>
<td colspan="9"><blockquote>
<p>PL</p>
</blockquote></td>
<td colspan="5">Pub.L.</td>
<td colspan="10">     </td>
<td>-</td>
<td colspan="5">     </td>
<td>Sec</td>
<td colspan="5">     </td>
<td colspan="8">Name of Law:</td>
<td colspan="9">     </td>
<td colspan="4"></td>
</tr>
<tr class="even">
<td colspan="62"></td>
<td colspan="4"></td>
</tr>
<tr class="odd">
<td colspan="62"></td>
<td colspan="4"></td>
</tr>
<tr class="even">
<td colspan="3"></td>
<td colspan="6">c.</td>
<td colspan="9">Statute at Large</td>
<td colspan="4">     </td>
<td colspan="7">USC</td>
<td colspan="15">     </td>
<td colspan="9">Name of Statute:</td>
<td colspan="9">     </td>
<td colspan="4"></td>
</tr>
<tr class="odd">
<td colspan="3"></td>
<td colspan="6"></td>
<td colspan="9">Statute at Large</td>
<td colspan="4">     </td>
<td colspan="7">USC</td>
<td colspan="15">     </td>
<td colspan="9">Name of Statute:</td>
<td colspan="9">     </td>
<td colspan="4"></td>
</tr>
<tr class="even">
<td colspan="62"></td>
<td colspan="4"></td>
</tr>
<tr class="odd">
<td colspan="62"></td>
<td colspan="4"></td>
</tr>
<tr class="even">
<td colspan="3"></td>
<td colspan="6">d.</td>
<td colspan="9">EO</td>
<td colspan="3">EO</td>
<td colspan="16">     </td>
<td colspan="6">Name /Subject of EO:</td>
<td colspan="19">     </td>
<td colspan="4"></td>
</tr>
<tr class="odd">
<td colspan="3"></td>
<td colspan="6"></td>
<td colspan="9">EO</td>
<td colspan="3">EO</td>
<td colspan="16">     </td>
<td colspan="6">Name/Subject of EO:</td>
<td colspan="19">     </td>
<td colspan="4"></td>
</tr>
<tr class="even">
<td colspan="5">12.</td>
<td colspan="61">Associated Rulemaking Information</td>
</tr>
<tr class="odd">
<td colspan="5"></td>
<td colspan="27">RIN:</td>
<td colspan="16">Stage of Rulemaking <em>(check one)</em>:</td>
<td colspan="10">Federal Register Citation:</td>
<td colspan="8">Citation Date:      </td>
</tr>
<tr class="even">
<td colspan="5"></td>
<td colspan="5"> </td>
<td colspan="2"> </td>
<td colspan="4"> </td>
<td> </td>
<td colspan="2"></td>
<td> </td>
<td colspan="4"> </td>
<td colspan="2"> </td>
<td colspan="6"> </td>
<td colspan="16"> Proposed Rule</td>
<td colspan="3">    </td>
<td colspan="4">FR</td>
<td colspan="3">     </td>
<td></td>
<td></td>
<td colspan="6">(MM/DD/YYYY)</td>
</tr>
<tr class="odd">
<td colspan="6"></td>
<td colspan="25"></td>
<td colspan="17"> Interim Final or Final Rule</td>
<td colspan="18"><h3 id="for-rims-use-only">FOR RIMS USE ONLY</h3></td>
</tr>
<tr class="even">
<td colspan="6"></td>
<td colspan="25"></td>
<td colspan="17"> Not associated with rulemaking</td>
<td colspan="9"></td>
<td colspan="9"></td>
</tr>
<tr class="odd">
<td colspan="6"></td>
<td colspan="60"><em>For a Proposed Rule, OMB will not consider an ICR
complete until the Notice of Proposed Rulemaking has been
published.</em></td>
</tr>
<tr class="even">
<td colspan="6"></td>
<td colspan="60"></td>
</tr>
<tr class="odd">
<td colspan="6"></td>
<td colspan="60"></td>
</tr>
<tr class="even">
<td colspan="6"></td>
<td colspan="60"></td>
</tr>
<tr class="odd">
<td colspan="6"></td>
<td colspan="60"></td>
</tr>
<tr class="even">
<td colspan="6"></td>
<td colspan="60"></td>
</tr>
<tr class="odd">
<td colspan="6"></td>
<td colspan="60"></td>
</tr>
<tr class="even">
<td colspan="6"></td>
<td colspan="60"></td>
</tr>
<tr class="odd">
<td colspan="6"></td>
<td colspan="60"></td>
</tr>
<tr class="even">
<td colspan="6"></td>
<td colspan="60"></td>
</tr>
<tr class="odd">
<td colspan="6"></td>
<td colspan="60"></td>
</tr>
<tr class="even">
<td colspan="6"></td>
<td colspan="60"></td>
</tr>
<tr class="odd">
<td colspan="64"><h1 id="for-rims-use-only-1">FOR RIMS USE
ONLY</h1></td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="8">13.</td>
<td colspan="56">Federal Register Notices &amp; Comments</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="8"></td>
<td colspan="11"></td>
<td colspan="22">Federal Register Citation:</td>
<td></td>
<td colspan="12">Citation Date:</td>
<td colspan="10">Did ED receive public comments on this ICR?</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="8"></td>
<td colspan="11">60-day Notice:</td>
<td colspan="6">     </td>
<td colspan="3">FR</td>
<td colspan="13">     </td>
<td></td>
<td colspan="6">     </td>
<td colspan="6">(MM/DD/YYYY)</td>
<td colspan="10"> Yes No NA</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="8"></td>
<td colspan="11"></td>
<td colspan="6"></td>
<td colspan="3"></td>
<td colspan="13"></td>
<td></td>
<td colspan="6"></td>
<td colspan="6"></td>
<td colspan="10"></td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="8"></td>
<td colspan="11">30-day Notice:</td>
<td colspan="6">     </td>
<td colspan="3">FR</td>
<td colspan="13">     </td>
<td></td>
<td colspan="6">     </td>
<td colspan="6">(MM/DD/YYYY)</td>
<td colspan="10"></td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="8"></td>
<td colspan="56"><em>Unless submitted as an Emergency or Associated with
Rulemaking, OMB will not consider an ICR complete until the 30-day
notice has been published.</em></td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="8"></td>
<td colspan="56"></td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="6"></td>
<td colspan="60"></td>
</tr>
<tr class="even">
<td colspan="6">14.</td>
<td colspan="60">Annual Cost to the Federal Government: $4,000</td>
</tr>
<tr class="odd">
<td colspan="6">15.</td>
<td colspan="60">Add/Edit Information Collections (See IC Data Part 2:
Information Collection Detail)</td>
</tr>
<tr class="even">
<td colspan="2">16.</td>
<td colspan="61">Annual reporting and recordkeeping hour burden:</td>
<td colspan="3"></td>
</tr>
<tr class="odd">
<td colspan="2"></td>
<td colspan="61">a. Number of respondents: 100</td>
<td colspan="3"></td>
</tr>
<tr class="even">
<td colspan="2"></td>
<td colspan="61">b. Total annual responses: 100</td>
<td colspan="3"></td>
</tr>
<tr class="odd">
<td colspan="2"></td>
<td colspan="9"></td>
<td colspan="52">Percentage of these responses collected electronically:
40%</td>
<td colspan="3"></td>
</tr>
<tr class="even">
<td colspan="2"></td>
<td colspan="61">c. Total annual hours requested: 500</td>
<td colspan="3"></td>
</tr>
<tr class="odd">
<td colspan="2"></td>
<td colspan="61">d. Current OMB inventory: 500</td>
<td colspan="3"></td>
</tr>
<tr class="even">
<td colspan="2"></td>
<td colspan="61">e. Difference (+/-): 0</td>
<td colspan="3"></td>
</tr>
<tr class="odd">
<td colspan="2"></td>
<td colspan="61">f. Explanation of difference</td>
<td colspan="3"></td>
</tr>
<tr class="even">
<td colspan="2"></td>
<td colspan="11"></td>
<td colspan="50">1. Program Change      </td>
<td colspan="3"></td>
</tr>
<tr class="odd">
<td colspan="2"></td>
<td colspan="11"></td>
<td colspan="50">2. Adjustment:      </td>
<td colspan="3"></td>
</tr>
<tr class="even">
<td colspan="2"></td>
<td colspan="61"></td>
<td colspan="3"></td>
</tr>
<tr class="odd">
<td colspan="2">17.</td>
<td colspan="61">Frequency of recordkeeping or reporting (check all that
apply):</td>
<td colspan="3"></td>
</tr>
<tr class="even">
<td colspan="2"></td>
<td colspan="61">a. Recordkeeping b. Third party disclosure c.
Reporting</td>
<td colspan="3"></td>
</tr>
<tr class="odd">
<td colspan="2"></td>
<td colspan="5"></td>
<td colspan="4">1.</td>
<td colspan="3"></td>
<td colspan="16">On occasion</td>
<td colspan="5">2.</td>
<td colspan="3"></td>
<td colspan="9">Weekly</td>
<td colspan="2">3.</td>
<td></td>
<td colspan="13">Monthly</td>
<td colspan="3"></td>
</tr>
<tr class="even">
<td colspan="2"></td>
<td colspan="5"></td>
<td colspan="4">4.</td>
<td colspan="3"></td>
<td colspan="16">Quarterly</td>
<td colspan="5">5.</td>
<td colspan="3"></td>
<td colspan="9">Semi-annually</td>
<td colspan="2">6.</td>
<td></td>
<td colspan="13">Annually</td>
<td colspan="3"></td>
</tr>
<tr class="odd">
<td colspan="2"></td>
<td colspan="5"></td>
<td colspan="4">7.</td>
<td colspan="3"></td>
<td colspan="16">Biennially</td>
<td colspan="5">8.</td>
<td colspan="3"></td>
<td colspan="9">Once</td>
<td colspan="2">9.</td>
<td></td>
<td colspan="13">Other (describe)      </td>
<td colspan="3"></td>
</tr>
<tr class="even">
<td colspan="2"></td>
<td colspan="61"></td>
<td colspan="3"></td>
</tr>
<tr class="odd">
<td colspan="2">18.</td>
<td colspan="61"><p>Citations for New Statutory Requirements:
<em>(Required if any change in burden is a Program Change Due to New
Statute.)</em></p>
<table>
<colgroup>
<col style="width: 2%" />
<col style="width: 2%" />
<col style="width: 5%" />
<col style="width: 1%" />
<col style="width: 2%" />
<col style="width: 3%" />
<col style="width: 0%" />
<col style="width: 5%" />
<col style="width: 1%" />
<col style="width: 2%" />
<col style="width: 1%" />
<col style="width: 1%" />
<col style="width: 5%" />
<col style="width: 2%" />
<col style="width: 4%" />
<col style="width: 8%" />
<col style="width: 11%" />
<col style="width: 1%" />
<col style="width: 10%" />
<col style="width: 24%" />
</colgroup>
<tbody>
<tr class="odd">
<td></td>
<td>a.</td>
<td colspan="3"><blockquote>
<p>US Code:</p>
</blockquote></td>
<td colspan="3">     </td>
<td colspan="4">USC</td>
<td colspan="5">     </td>
<td colspan="2">Name of Law:</td>
<td>     </td>
</tr>
<tr class="even">
<td colspan="20"></td>
</tr>
<tr class="odd">
<td colspan="20"></td>
</tr>
<tr class="even">
<td></td>
<td><blockquote>
<p>b.</p>
</blockquote></td>
<td colspan="2"><blockquote>
<p>PL:</p>
</blockquote></td>
<td colspan="2">Pub.L.</td>
<td colspan="3">     </td>
<td>-</td>
<td colspan="4">     </td>
<td>Sec</td>
<td colspan="2">     </td>
<td colspan="2">Name of Law:</td>
<td>     </td>
</tr>
<tr class="odd">
<td colspan="20"></td>
</tr>
<tr class="even">
<td colspan="20"></td>
</tr>
<tr class="odd">
<td></td>
<td>c.</td>
<td colspan="5">Statute at Large:</td>
<td>     </td>
<td colspan="3">USC</td>
<td colspan="5">     </td>
<td colspan="2">Name of Statute:</td>
<td colspan="2">     </td>
</tr>
<tr class="even">
<td colspan="20"></td>
</tr>
<tr class="odd">
<td colspan="20"></td>
</tr>
<tr class="even">
<td></td>
<td>d.</td>
<td>EO:</td>
<td colspan="2">EO</td>
<td colspan="8">     </td>
<td colspan="3">Name /Subject of EO:</td>
<td colspan="4">     </td>
</tr>
</tbody>
</table></td>
<td colspan="3"></td>
</tr>
<tr class="even">
<td colspan="2">19.</td>
<td colspan="61"> Burden increases because of Program Change due to
Agency Discretion</td>
<td colspan="3"></td>
</tr>
<tr class="odd">
<td colspan="2"></td>
<td colspan="61">Burden decreases because of Program Change due to
Agency Discretion</td>
<td colspan="3"></td>
</tr>
<tr class="even">
<td colspan="2"></td>
<td colspan="61">Burden increases because of program change due to
statutory changes</td>
<td colspan="3"></td>
</tr>
<tr class="odd">
<td colspan="2"></td>
<td colspan="61"> Burden decreases because of program change due to
statutory changes</td>
<td colspan="3"></td>
</tr>
<tr class="even">
<td colspan="2"></td>
<td colspan="61"> Burden increases because of program change due to
lapse of OMB approval</td>
<td colspan="3"></td>
</tr>
<tr class="odd">
<td colspan="2"></td>
<td colspan="61">Burden decreases because of program change due to lapse
of OMB approval</td>
<td colspan="3"></td>
</tr>
<tr class="even">
<td colspan="2"></td>
<td colspan="61"><strong>Short Statement:</strong> <em>(Explain the
reasons for any program changes or adjustments reported; provide a short
statement on how the reduction in burden was achieved or why the
increase in burden occurred. (if you need more space, please provide a
short statement less than 4000 characters here and elaborate in the
supporting statement.))</em></td>
<td colspan="3"></td>
</tr>
<tr class="odd">
<td colspan="2"></td>
<td colspan="61">     </td>
<td colspan="3"></td>
</tr>
<tr class="even">
<td colspan="4"></td>
<td colspan="61"></td>
<td></td>
</tr>
<tr class="odd">
<td colspan="4">20.</td>
<td colspan="61">Add/Edit Supporting Statement and Other Documents
<em>(Note: The Supporting Statement does not have any required
fields.)</em></td>
<td></td>
</tr>
<tr class="even">
<td></td>
<td colspan="60">Supporting Statement A</td>
<td colspan="5"></td>
</tr>
<tr class="odd">
<td></td>
<td colspan="14"><strong>Remove</strong></td>
<td colspan="37"><strong>Title</strong></td>
<td colspan="4"><p><strong>Date Uploaded</strong></p>
<p><em><strong>(MM/DD/YYYY)</strong></em></p></td>
<td colspan="10"><strong>Uploaded By</strong></td>
</tr>
<tr class="even">
<td></td>
<td colspan="14"></td>
<td colspan="37"><p id="section" class="heading">     </p></td>
<td colspan="4">     </td>
<td colspan="10">     </td>
</tr>
</tbody>
</table>

+---+-------+---------------------------------+---------+----------------+
|   | Suppo |                                 |         |                |
|   | rting |                                 |         |                |
|   | Stat  |                                 |         |                |
|   | ement |                                 |         |                |
|   | B     |                                 |         |                |
+---+-------+---------------------------------+---------+----------------+
|   | **Rem | **Title**                       | **Date  | **Uploaded     |
|   | ove** |                                 | Upl     | By**           |
|   |       |                                 | oaded** |                |
|   |       |                                 |         |                |
|   |       |                                 | ***(    |                |
|   |       |                                 | MM/DD/Y |                |
|   |       |                                 | YYY)*** |                |
+---+-------+---------------------------------+---------+----------------+
|   |       |                                 |         |                |
+---+-------+---------------------------------+---------+----------------+

  --------------- ------------ ------- ------------ ------------ ----- ------------ ------------ -------------
                                                                                                 

  Supplementary                                                                                  
  Documents                                                                                      

                  **Remove**           **Title**    **Document         **Document   **Date       **Uploaded
                                                    File Name**        Type**       Uploaded**   By**
  --------------- ------------ ------- ------------ ------------ ----- ------------ ------------ -------------

+---+--------+------------+-------------+---------+--------+-------------+
|   |        | #######    | ###         |         |        |             |
|   |        | #       {# | ###       { |         |        |             |
|   |        | section-1} | #section-2} |         |        |             |
+---+--------+------------+-------------+---------+--------+-------------+

+---+-------+-----------+-------------+---------+--------+-------------+
|   |       | ########  | ###         |         |        |             |
|   |       |       {#s | ###       { |         |        |             |
|   |       | ection-3} | #section-4} |         |        |             |
+---+-------+-----------+-------------+---------+--------+-------------+

+--------+------------+-------------+---------+--------+-------------+
|        | #######    | ###         |         |        |             |
|        | #       {# | ###       { |         |        |             |
|        | section-5} | #section-6} |         |        |             |
+--------+------------+-------------+---------+--------+-------------+
|        | #######    | ###         |         |        |             |
|        | #       {# | ###       { |         |        |             |
|        | section-7} | #section-8} |         |        |             |
+--------+------------+-------------+---------+--------+-------------+
|        | #######    | ####        |         |        |             |
|        | #       {# | ##       {# |         |        |             |
|        | section-9} | section-10} |         |        |             |
+--------+------------+-------------+---------+--------+-------------+
|        | ########   | ####        |         |        |             |
|        |        {#s | ##       {# |         |        |             |
|        | ection-11} | section-12} |         |        |             |
+--------+------------+-------------+---------+--------+-------------+
|        | ########   | ####        |         |        |             |
|        |        {#s | ##       {# |         |        |             |
|        | ection-13} | section-14} |         |        |             |
+--------+------------+-------------+---------+--------+-------------+

<table style="width:100%;">
<colgroup>
<col style="width: 3%" />
<col style="width: 1%" />
<col style="width: 14%" />
<col style="width: 12%" />
<col style="width: 14%" />
<col style="width: 12%" />
<col style="width: 10%" />
<col style="width: 12%" />
<col style="width: 16%" />
<col style="width: 0%" />
</colgroup>
<tbody>
<tr class="odd">
<td colspan="2"></td>
<td colspan="8"></td>
</tr>
<tr class="even">
<td></td>
<td colspan="8">Public Comments</td>
<td></td>
</tr>
<tr class="odd">
<td></td>
<td colspan="2"><p><strong>Date of Comment</strong></p>
<p><strong>(mm/dd/yyyy)</strong></p></td>
<td><p><strong>Date Comment Received</strong></p>
<p><strong>(mm/dd/yyyy)</strong></p></td>
<td><p><strong>Category</strong></p>
<p><em><strong>(Select One)</strong></em></p></td>
<td><strong>Comment Type</strong></td>
<td><strong>Author's First Name</strong></td>
<td><strong>Author's Last Name</strong></td>
<td colspan="2"><strong>Sponsoring Organization</strong></td>
</tr>
<tr class="even">
<td></td>
<td colspan="2"><strong>     </strong></td>
<td><strong>     </strong></td>
<td><strong>     </strong></td>
<td></td>
<td><strong>     </strong></td>
<td><strong>     </strong></td>
<td colspan="2"><strong>     </strong></td>
</tr>
</tbody>
</table>

+---+--------------------------------------------------------------+-----+
| 2 | Is this collection related to EDFacts? Yes No NA             |     |
| 1 |                                                              |     |
| \ |                                                              |     |
| . |                                                              |     |
+---+--------------------------------------------------------------+-----+
| 2 | Are EDFacts standard definitions for School, LEA, SEA,       |     |
| 2 | Children With Disabilities, LEP and Migrant Used? Yes No NA  |     |
| \ |                                                              |     |
| . |                                                              |     |
+---+--------------------------------------------------------------+-----+
| 2 | Please describe the types of reports and analysis to be      |     |
| 3 | performed against the data (500 Characters Maximum):         |     |
| \ |                                                              |     |
| . |                                                              |     |
+---+--------------------------------------------------------------+-----+
|   | >                                                            |     |
+---+--------------------------------------------------------------+-----+
|   |                                                              |     |
+---+--------------------------------------------------------------+-----+

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