83c

Paperwork Reduction Act

Change Worksheet

Agency/Sub agency: U.S. Department of Housing and Urban Development Office of Housing			OMB Control Number: 2502-0616
Enter only items that change		Current Record		New Record**
Agency form number(s):      		     		     
Annual reporting and keeping hour burden
	Number of respondents	N/A		     N/A
	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	N/A		N/A
	Total annual costs (O&M)	     		     
	Total annualized cost requested	     		     
	Difference			     
	Explanation of difference Program change Adjustment			           

Other change: **

     The above referenced collection type in ROCIS was select as an “Emergency” and was changed to “NEW Collection”. This collection is time sensitive and is essential to the mission of the agency and wanted an approval quickly and not as a 6-month approval. However, the program office is seeking to obtain a 3-year OMB approval on this new collection.

Signature of Senior Official or Designee: X Wayne Eddins, 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