OMB 83-C PRA Change Worksheet

PAPERWORK REDUCTION ACT

CHANGE WORKSHEET

Agency/subagency U.S. Department of Housing and Urban Development Office of Housing Assistance and Grant Administration			OMB Control Number _2_ _5_ _0__ _2_ -_0_ _5_ __3 _3_ 
	Enter only items that change Current record		New record
Agency form number (s) HUD-9625 			
Annual reporting and recordkeeping 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 changes** This form must be completed by owners/management agents of all Section 8 properties that have undergone a MAHRA renewal. The revised worksheet includes a row into which the owners can enter the Operating Cost Adjustment Factors (OCAF).  The worksheet is also being prepared in an electronic format. The new worksheet will make necessary calculations automatically. HUD wishes to add instructions to clarify the input required.
Signature of Senior Official or designee: 		Date: 	For OIRA Use ___________________________________ ___________________________________

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

OMB 83-C 10/95