Supplementary Document

Paperwork Reduction Act

Change Worksheet

Agency/Subagency: U.S. Department of Housing and Urban Development Office of Public and Indian Housing			OMB Control Number: 2577-0157
Enter only items that change		Current Record		New Record**
Agency form number(s): HUD Form-53001 Actual Modernization Cost Certificate
Annual reporting and keeping hour burden
	Number of respondents	3,100		3,100
	Total annual responses	3,100		3,100
	Percent of these responses collected electronically
	Total annual hours	6,200		6,200
	Difference			0
	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	$173,600		$173,600
	Difference			0
	Explanation of difference Program change Adjustment

Other change: **

In our current approved PRA 2577-0157 package on OMB’s OIRA website, the wrong document is posted.

What is posted are 2 separate documents for form 53001 and both are incorrect. The 1^st are the approved changes to the 53001 form and the 2^nd is the old form 53001.  We need the current 53001 form posted on OMB’s OIRA website and replacing/removing the old form & approved changes to the new form.

Please have the attached form 53001 posted in our PRA package number 2577-0157 as our approved form 53001 (rather than the 3 changes to the form & the old version of the 53001).

Here is the link to our 2577-0157 package:

http://www.reginfo.gov/public/do/PRAICList?ref_nbr=201212-2577-001

Since the current attached form 53001 has already been approved (as we can see with the approval of the 3 changes) and this seems to be a processing error, this request should be a straight up switch out with the current attached form 53001.

Please let us know if you need additional information or if you prefer, our OCI office is willing to follow up with Joseph – OMB PRA Desk Officer POC to get this fixed.

OMB 83-C 10/95