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+---+------------------------+-------+---+-------------------------------+---+
| 1 |                        | 2\.   |   |                               |   |
| \ |                        | EDICS |   |                               |   |
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| 4 |                        |       |   | 4a. Is this a request for a   |   |
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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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| . |                        |       |   |                               |   |
+---+------------------------+-------+---+-------------------------------+---+

<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">1221e-3</td>
<td colspan="7">Name of Law:</td>
<td colspan="9">Department of Education Organization Act</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">20</td>
<td colspan="9">USC</td>
<td colspan="10">3474</td>
<td colspan="7">Name of Law:</td>
<td colspan="9">General Education Provisions Act</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: $168,291</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: 26,000</td>
<td colspan="3"></td>
</tr>
<tr class="even">
<td colspan="2"></td>
<td colspan="61">b. Total annual responses: 26,000</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:
75%</td>
<td colspan="3"></td>
</tr>
<tr class="even">
<td colspan="2"></td>
<td colspan="61">c. Total annual hours requested: 7860</td>
<td colspan="3"></td>
</tr>
<tr class="odd">
<td colspan="2"></td>
<td colspan="61">d. Current OMB inventory: 6763</td>
<td colspan="3"></td>
</tr>
<tr class="even">
<td colspan="2"></td>
<td colspan="61">e. Difference (+/-): 1097</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 1097</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) New Awards</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">There is a slightly greater number of respondents
estimated in this collection (26,000) than in the current inventory for
this collection (25,344). The change in respondents is due to a higher
number of discretionary and formula grant applicants estimated for FY
2008, 2009 and 2010 (based on applicant data in the last 3 fiscal
years). Please note however that the number of respondents for the
Impact Aid programs was deleted from this collection since the Impact
Aid formula programs do not use the SF 424 or this ED Supplemental
Information form. The limited number of potential Impact Aid
discretionary grant applicants (e.g., less than 250) are included in the
discretionary grant applicant numbers. The burden hours have also been
increased from the current inventory (7860 burden hours requested vs.
6753 burden hours in the current inventory). This increase is due to the
fact that it may take slightly longer (average of 20 minutes vs. 15
minutes (in current inventory)) for discretionary grant applicants to
complete the revised ED Supplemental Information form now that all
discretionary grant applicants must indicate on the form whether or not
they meet ED’s definition for a novice applicant. Some applicants may
need to research their Federal funding history in order to accurately
respond to this question.</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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