OMB 83 C Pra Change Worksheet

Paperwork Reduction Act

Change Worksheet

Agency/Subagency: U.S. Department of Housing and Urban Development Office of Public and Indian Housing			OMB Control Number: 2577-0169
Enter only items that change		Current Record		New Record**
Agency form number(s): 52517;52641;52641-A;52646;52649
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	$0.00
	Total annual costs (O&M)	$0.00
	Total annualized cost requested	$0.00
	Difference
	Explanation of difference Program change Adjustment

Other change: **

We are now providing each of these forms, which are approved, in the following languages:

1. Cambodian

2. Hmong

3. Chinese

4. Creole

5. Spanish

6. Vietnamese

7. Korean

8. Arabic

9. Russian

10. French

11. Laotian

These additional publications should ease the burden on some non-English speaking persons, and some persons with limited English proficiency.

Signature of Senior Official or Designee: X Lillian L. Deitzer, 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