Signed OMB 83-C Form

PAPERWORK REDUCTION ACT

CHANGE WORKSHEET

Agency/subagency

OMB Control Number

Department of Housing and Urban Development (HUD)

0576
2502
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Enter only items that change
Current record

New record

Agency form number (s)

HUD Form: 90092

Annual reporting and recordkeeping 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 changes**

Form HUD-90092, used to qualify bidders, needs to be made available to the public by October 5, 2022 in time for a
November 16, 2022 sale. The first page of the form has the correct expiration date of 04/30/2024 but subsequent pages have
the incorrect expiration date of 09/30/2014. HUD is taking this opportunity to correct the date and at same time make other
non-substantive clarifying changes.
Signature of Senior Official or designee:
Date:
For OIRA Use
___________________________________
Digitally signed by JOHN LUCEY
___________________________________
JOHN LUCEY
Date: 2022.09.16 13:06:30 -04'00'

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

OMB 83-C

10/95