83-c

PAPERWORK REDUCTION ACT
CHANGE WORKSHEET
Agency/Subagency

OMB control number

Housing and Urban Development/Policy Development and Research

2

5

2

8

0

2

9

7

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

N/A

N/A

Annual reporting and recordkeeping hour
burden
Number of respondents

25

25

Total annual responses

25

25

Percent of these responses
collected electronically
Total annual hours

100 %

100 %

1

1
0

Difference
Explanation of difference
Program change

0

Adjustment

1

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**

Removed the word MTO from one section in the Form

Signature of Senior Official or designee:

Ted Payne
**This form cannot be used to extend an expiration date.
OMB FORM 83-C, 10/95

Date:

For OIRA Use

5/3/2018

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