83-C Non-Substantive Change Request

Paperwork Reduction Act

Change Worksheet

Agency/Subagency: U.S. Department of Housing and Urban Development Office of Public and Indian Housing			OMB Control Number: 2577-0029
Enter only items that change		Current Record		New Record**
HUD-52722: Operating Fund Calculation of Utility Expense Level		Rolling Base Consumption Level Category: Flat Rate Non Frozen Frozen		Rolling Base Consumption Level Category: Flat Rate Non Frozen Frozen EPC Frozen Other
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	     		     
	Total annual costs (O&M)	     		     
	Total annualized cost requested	     		     
	Difference			     
	Explanation of difference Program change Adjustment			           

Other change: **

Summary of changes: the new form makes changes to the selections for the “Rolling Base Consumption Level Categories.” The selection for “Frozen” is relabeled to “Frozen EPC” and adds “Frozen Other.” The change does not add more burden to the submitter, because the selection is prepopulated, and the submitter cannot edit that section.

Signature of Senior Official or Designee: X Colette Pollard, Departmental Reports Management Officer, OCIO

Date:

For OIRA Use

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

OMB 83-C 10/95