OMB 83-C Paperwork Reduction Act Change Worksheet

Paperwork Reduction Act

Change Worksheet

Agency/Subagency: U.S. Department of Housing and Urban Development Office of Public and Indian Housing			OMB Control Number: 2577-0178
Enter only items that change		Current Record		New Record**
Agency form number(s): 52651		11/2005 edition		10/2006 edition
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: **

The changes will have no significant impact on information collection burden.

A yes/no box has been added in Part I to identify Moving-to-Work agencies.

A box has been added to Part IV, A. so applicants can enter the “Salary Amount Last Funded.”

Expanded the number of blocks in Part IV A and B to accommodate PHA requests for multiple positions.

Signature of Senior Official or Designee: X Lillian L. Deitzer, Departmental Reports Management Officer, OCIO

Date:

For OIRA Use

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

OMB 83-C 10/95