NOFA Rating Form - HUD Form 2010

PAPERWORK REDUCTION ACT
CHANGE WORKSHEET
Agency/Subagency

OMB control number

U.S. Department of Housing and Urban Development
Office of Sustainable

2

5

0

1

0

0

2

4

Enter only items that change
Current record
New record
Agency form number(s)

Rating Factor - Form

Rating Factor - Form (HUD Form
2010)

Annual reporting and recordkeeping hour
burden
Number of respondents
Total annual responses
Percent of these responses
collected electronically

%

%

Total annual hours

0

Difference
Explanation of difference
Program change
Adjustment
Annual reporting and recordkeeping cost
burden (in thousands of dollars)
Total annualized Capital/Startup costs
Total annual costs (O&M)

0.00

Total annualized cost requested

0.00
0.00

Difference
Explanation of difference
Program change
Adjustment
Other changes**

In HUD Form 2010, item 4.2 School Lunch Eligibility, form has been updated to reflect the final requirements of the NOFA by removing the
Race/Ethnicity/Dissimilarity Index.
Signature of Senior Official or designee:

Leroy McKinney Jr., Departmental PRA Compliance Officer
**This form cannot be used to extend an expiration date.
OMB FORM 83-C, 10/95

Date:

For OIRA Use

08-04-2010

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