OMB 83-I Change Worksheet

PAPERWORK REDUCTION ACT

CHANGE WORKSHEET

Agency/Subagency U.S. Department of Housing and Urban Development Office of Housing, Office of Multifamily Housing Development							OMB Control Number 2502-0261
Enter only items that change Current record New record
Agency form number(s)					HUD-424CBW (remove) No burden hour change as this is approved under 2501-0017		Add: HUD-96011. 420 responses@ 0.1 hrs = 42 hours.
							Add: SHFAs must submit evidence of statutory authority to operate and to apply for and use funds awarded. 40 responses @ .02 hrs = 1 hour.
							Add: Applicants must provide, for the press release, a brief description of their organizational history and grant activities. 420 responses at 0.5 hrs = 210 hours.
Annual reporting and recordkeeping hour burden
	Number of respondents
	Total annual responses						22,424
			Percent of these responses collected electronically				100%
	Total annual hours						29,448
	Difference						+253
	Explanation of difference
				Program change
				Adjustment			+253
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
To comply with the General Section of the Notice of Funding Availability for this program, HUD requests approval to add the following information collections to subject collection. Add: HUD-96011. This is a fax cover sheet required for any third-party documentation required. Add: State Housing Finance Agencies (SHFAs) must submit evidence of statutory authority to operate and to apply for and use funds awarded. This would involve copying and forwarding documentation already on hand. Add: Applicants must provide, for the press release, a brief description of their organizational history and grant activities. This information is required for HUD to comply with the requirements of notifying the public of grant recipients.
						Date:	For OIRA Use _______________ ______________

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

OMB FORM 83-C 10/95