Supplemental Document

83c.Change Worksheet (HUD-5837) (5-30-19).doc

Inventory Removal Application Forms

Supplemental Document

OMB: 2577-0075

Document [doc]
Download: doc | pdf


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 Sections B, C, and signature block of HUD-5837

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 B adds 2 new questions to align with a new HUD notice published on May 24, 2019 as PIH Notice 2019-13. The first question asks how the PHA intends to closeout its public housing program. The second question asks if the PHA has any eligible uses for certain HUD funding that it may be eligible to receive after it removes all of its public housing units.


Section C is modified to reference PIH Notice 2019-13.


A signature block is also added.


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 Modified2019-05-30
File Created2019-05-30

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