FORMAT: SAMPLE CHANGE ORDER AND/OR PROCEED ORDER

Forms and Documents

Document Name	Status

No forms / supporting documents in this ICR. Check IC Document Collections.

IC Document Collections

IC ID	Document Title	Status
145784	FORMAT: SAMPLE CHANGE ORDER AND/OR PROCEED ORDER	Migrated

ICR Details

OMB Control No: 2577-0020	ICR Reference No: 198712-2577-003
Status: Historical Active	Previous ICR Reference No: 198703-2577-006
Agency/Subagency: HUD/PIH	Agency Tracking No:
Title: FORMAT: SAMPLE CHANGE ORDER AND/OR PROCEED ORDER
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/23/1988
	Date Received in OIRA: 12/09/1987
Terms of Clearance: This request to collect information is approved for an additional 60 days to give HUD sufficient time to submit for OMB review a copy of the prescribed forms containing the OMB control number, as required by the Paperwork Reduction Act and its implementing regulations at 5 CFR 1320. Failure to meet this term of clearance will result in the disapproval of this information collection.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/1988	04/30/1988
Responses	1,200	0	0
Time Burden (Hours)	4,800	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: CHANGE ORDERS AND/OR PROCEED ORDERS ARE NEEDED TO FORMALIZE A CHANGE IN CONSTRUCTION OF A HOUSING PROJECT. THEY DIRECT A CONTRACTOR TO ADD, DELETE OR SUBSTITUTE CERTAIN CONSTRUCTION ELEMENS AND ESTABLISH A COST FOR THE WORK AND TIMEFRAME FOR COMPLETION. THEY ARE PREPARED BY THE PROJECT ARCHITECT, REVIEWED AND CONCURRED IN BY THE PHA, ACCEPTED BY T CONTRACTOR AND SUBMITTED TO HUD FOR APPROVAL.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
FORMAT: SAMPLE CHANGE ORDER AND/OR PROCEED ORDER

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	1,200	0	0	0	1,200	0
Annual Time Burden (Hours)	4,800	0	0	0	4,800	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 12/09/1987

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