OMB 83-C PRA Change Worksheet

PAPERWORK REDUCTION ACT

Change Worksheet

Agency/Sub-agency: U.S. Department of Housing and Urban Development Office of Fair Housing and Equal Opportunity (FHEO)			OMB Control Number: 2529-0011
Enter only items that change		Current Record		New Record**
Agency form number(s): HUD-903.1CAM (Cambodian); HUD-903.1AR (Arabic); HUD-903.1R (Russian)
Annual reporting and keeping hour burden
	Number of respondents
	Total annual responses
	Percent of these responses collected electronically
	Total annual hours
	Difference
	Explanation of difference Program change Adjustment
Annual reporting and recordkeeping cost burden (in thousands of dollars)
	Total annualized Capital/Startup costs	0
	Total annual costs (O&M)	0		     
	Total annualized cost requested	0
	Difference
	Explanation of difference Program change Adjustment

Other change: **

FHEO is now offering Form HUD-903.1, which is currently approved, in Cambodian, Arabic, and Russian language versions. The 2004 submission stated forms for these additional languages would be available in the future. These additional publications should ease the burden on some non-English speaking persons, and on some persons with limited English proficiency, who wish to file housing discrimination complaints with HUD pursuant to the Fair Housing Act [42 U.S.C. §3601 et seq.].

Signature of Senior Official or Designee: X Wayne Eddins, Departmental Paperwork Reduction Act Officer, OCIO

Date:

For OIRA Use

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

OMB 83-C 10/95