83c

Paperwork Reduction Act

Change Worksheet

Agency/Subagency: U.S. Department of Housing and Urban Development Title: Public Housing 5-Year and Annual PHA Plan			OMB Control Number: OMB Control No: 2577-0226
Enter only items that change		Current Record		New Record**
Agency form number(s): HUD-50075-HCV, HUD-50075-HP, HUD-50075-SM and HUD-50075-ST,		     		     
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: **

HUD is requesting a minor change to the text of the instructions in 4 of the documents of this collection. This edit will further clarify the definition of a ‘High-Performer PHA’. The change is shown in redline in the attached documents.

Signature of Senior Official or Designee: X

Date:

For OIRA Use

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

OMB 83-C 10/95