OMB 83-C Change Worksheet

PAPERWORK REDUCTION ACT

CHANGE WORKSHEET

Agency/Subagency U.S. Department of Housing and Urban Development Office of Housing, Office of Multifamily Housing Development							OMB Control Number 2502-0416
Enter only items that change Current record New record
Agency form number(s) HUD- HUD-
Annual reporting and recordkeeping hour burden
	Number of respondents
	Total annual responses
			Percent of these responses collected electronically
	Total annual hours				260		285
	Difference
	Explanation of difference
				Program change
				Adjustment			+25
Annual reporting and recordkeeping cost burden (in thousands of dollars)
		Total annualized Capital/Startup costs
		Total annual costs (O&M)
		Total annualized cost requested
		Difference
		Explanation of difference
				Program change
				Adjustment
Other changes** HUD requests a change to this information collection. Originally HUD had estimated 15 minutes for the refunding agreement. This change is to add an additional 30 minutes per response to include the attachment, from the bond issuer, to the Refunding Agreement as required by HUD. Total burden increase 25 hours.
Signature of Senior Official or designee:						Date:	For OIRA Use _______________ ______________

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

OMB FORM 83-C 10/95