**PAPERWORK REDUCTION ACT**

**CHANGE WORKSHEET**

+------------------------+---------------------+-----------------------+
| **Agency/Subagency**   |                     | **OMB Control         |
|                        |                     | Number**              |
| **U.S. Department of   |                     |                       |
| Education**            |                     | **1810-0021**         |
|                        |                     |                       |
| **Office of Indian     |                     |                       |
| Education**            |                     |                       |
+------------------------+---------------------+-----------------------+
| **Enter only items     |                     |                       |
| that change**          |                     |                       |
|                        |                     |                       |
| **Current Record New   |                     |                       |
| Record**               |                     |                       |
+------------------------+---------------------+-----------------------+
| **Agency form          | **     **           | **     **             |
| number(s)**            |                     |                       |
+------------------------+---------------------+-----------------------+
| **Annual reporting and |                     |                       |
| record keeping**       |                     |                       |
|                        |                     |                       |
| **hour burden**        |                     |                       |
+------------------------+---------------------+-----------------------+
| **Number of            | **1,185**           | **11,185**            |
| respondents**          |                     |                       |
+------------------------+---------------------+-----------------------+
| **Total annual         |                     |                       |
| responses**            |                     |                       |
+------------------------+---------------------+-----------------------+
| **Percent of these     |                     |                       |
| responses**            |                     |                       |
|                        |                     |                       |
| **collected            |                     |                       |
| electronically**       |                     |                       |
+------------------------+---------------------+-----------------------+
| **Total annual hours** | **5,925**           | **9,018**             |
+------------------------+---------------------+-----------------------+
| **Difference**         |                     | **3093**              |
+------------------------+---------------------+-----------------------+
| **Explanation of       |                     | **     **             |
| difference**           |                     |                       |
|                        |                     |                       |
| #  Program Change      |                     |                       |
+------------------------+---------------------+-----------------------+
| **Adjustment**         |                     | **     **             |
+------------------------+---------------------+-----------------------+
| **Annual reporting and |                     |                       |
| record keeping cost    |                     |                       |
| burden (in thousands   |                     |                       |
| of dollars)**          |                     |                       |
+------------------------+---------------------+-----------------------+
| **Total annualized     | **  NA   **         | **NA**                |
| capital/startup**      |                     |                       |
|                        |                     |                       |
| **costs**              |                     |                       |
+------------------------+---------------------+-----------------------+
| **Total annual costs   | **NA**              | **NA**                |
| (O&M)**                |                     |                       |
+------------------------+---------------------+-----------------------+
| **Total annualized     | **NA**              | **NA**                |
| cost requested**       |                     |                       |
+------------------------+---------------------+-----------------------+
| **Difference**         |                     | **     **             |
+------------------------+---------------------+-----------------------+
| **Explanation of       |                     | **     **             |
| difference**           |                     |                       |
|                        |                     |                       |
| **Program Change**     |                     |                       |
+------------------------+---------------------+-----------------------+
| **Adjustment**         |                     | **     **             |
+------------------------+---------------------+-----------------------+
| **Other change\*\***   |                     |                       |
| Per OMB direction, the |                     |                       |
| burden for the Office  |                     |                       |
| of Indian Education's  |                     |                       |
| Formula Grant EASIE is |                     |                       |
| to be removed from the |                     |                       |
| EDEN clearance package |                     |                       |
| (OMB #1875-0240) and   |                     |                       |
| added into OIE's OMB   |                     |                       |
| package #1810-0021.    |                     |                       |
| The burden removed     |                     |                       |
| from the EDEN package  |                     |                       |
| does not exactly match |                     |                       |
| the burden added to    |                     |                       |
| this one because we    |                     |                       |
| refined the basis for  |                     |                       |
| burden estimates. The  |                     |                       |
| estimate of the number |                     |                       |
| of applicants in Part  |                     |                       |
| II of Formula Grant    |                     |                       |
| EASIE is more accurate |                     |                       |
| than that used for     |                     |                       |
| Part I in the EDEN     |                     |                       |
| package; therefore we  |                     |                       |
| have adjusted the      |                     |                       |
| estimated number of    |                     |                       |
| respondents to be      |                     |                       |
| consistent and more    |                     |                       |
| accurate. (Note: the   |                     |                       |
| total number of        |                     |                       |
| respondents, 11,185,   |                     |                       |
| is achieved by         |                     |                       |
| estimating 10,000      |                     |                       |
| student forms and      |                     |                       |
| 1,185 local education  |                     |                       |
| agencies submitting    |                     |                       |
| student data to apply  |                     |                       |
| for Indian Education   |                     |                       |
| grants (as opposed to  |                     |                       |
| the 1,100 estimated in |                     |                       |
| EDEN #1875-0240)).     |                     |                       |
+------------------------+---------------------+-----------------------+
| **Signature of Senior  | **Date:**           | **For OIRA Use**      |
| Officer or**           |                     |                       |
|                        | **     **           | **     **             |
| **designee:**          |                     |                       |
|                        |                     | **     **             |
| **     **              |                     |                       |
+------------------------+---------------------+-----------------------+

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

**OMB 83-C**