83c

Paperwork Reduction Act

Change Worksheet

Agency/Subagency: U.S. Department of Housing and Urban Development			OMB Control Number: 2577-0083
Enter only items that change		Current Record		New Record**
Agency form number(s): HUD-50058, HUD-50058 MTW, HUD-50058 MTW Expansion
Annual reporting and keeping hour burden
	Number of respondents	4,153		4,153
	Total annual responses	2,933,713		2,933,713
	Percent of these responses collected electronically	100 %		100 %
	Total annual hours	1,593,039.5		1,593,039.5
	Difference			0.00
	Explanation of difference Program change Adjustment			           
Annual reporting and recordkeeping cost burden (in thousands of dollars)				No Difference
	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:

• Removed a URL from first page to facilitate website restructuring in the future as needed (HUD-50058 only).

• Standardized pagination in page footer (HUD-50058, HUD-50058 MTW, HUD-50058 MTW Expansion).

• Removed PHRA acronym, which is not used on the form (HUD-50058, HUD-50058 MTW, HUD-50058 MTW Expansion).

• Removed instruction as intended from line 9m on p.9 (HUD-50058 and HUD-50058 MTW Expansion only).

• Added “the” before “family” to line 11l on p.11, to match 12n (HUD-50058 and HUD-50058 MTW Expansion only).

• Removed accidental blank rows from table on line 17i on p.15. This is formatting only; it does not affect any response options (HUD-50058, HUD-50058 MTW, HUD-50058 MTW Expansion).

• Revised “effective date” to “execution date” on line 17j(2) on p.15. This does not alter the nature of the question or the burden involved (HUD-50058, HUD-50058 MTW, HUD-50058 MTW Expansion).

• Revised “Public Housing maximum rent” to “PHA-established flat rent” on line 10h on p. 10, to match the change to the HUD-50058. This does not change the question or instructions, as these terms are synonyms (HUD-50058 MTW Expansion only).

• Corrected typo on line 17n on p.15—“manging” should have been “managing.” Also corrected subheader to point to 17p/23p rather than 17n (HUD-50058 MTW Expansion and HUD-50058 MTW only).

• Deleted redundant “initial” before “start” in section 17/23j, inserted “escrow” to ensure conformity among all three forms in 17/23k. No change to substance of questions. (HUD-50058 MTW and HUD-50058 MTW Expansion only)

Signature of Senior Official or Designee: X Colette Pollard, 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