83c Change Request Worksheet for HUD-52860

83c.Change Worksheet (HUD-52860) (8-7-19).doc

Public Housing Annual Contributions Contract and Inventory Removal Application

83c Change Request Worksheet for HUD-52860

OMB: 2577-0075

Document [doc]
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Paperwork Reduction Act

Change Worksheet

Agency/Subagency:

U.S. Department of Housing and Urban Development

Office of Public and Indian Housing

OMB Control Number:

2577-0075

Enter only items that change

Current Record

New Record**

Agency form number(s):

Inventory Removals Application (HUD-52860)


See changes described below to Section 1 of HUD-52860

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: **

Section 1 (General Information) adds 2 new non-substantive questions:


  • New Question 8: Name of Local HUD Field Office

  • New Question 9: Name of Expeditor at Local HUD Field Office who assisted PHA with application

These changes will have no significant impact on information collection burden.


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

File Typeapplication/msword
File TitlePaperwork Reduction Act
AuthorPreferred User
Last Modified BySYSTEM
File Modified2019-08-07
File Created2019-08-07

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