83 C

Paperwork Reduction Act

Change Worksheet

Agency/Subagency: U.S. Department of Housing and Urban Development			OMB Control Number: 2577-0226
Enter only items that change		Current Record		New Record**
Agency form number(s): HUD 50077-CR, HUD 50077-CRT-SM, HUD 50077-SL, HUD 50077-ST-HCV-HP
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 PHMOD is proposing the following non-substantive changes:

1. In all four certification forms, the text provided inviting the PHA to submit a written statement has been removed.

2. The correct expiration dates have been added to the forms.

These changes will have no impact on the information collection burden hours or costs.

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