Change Request

PAPERWORK REDUCTION ACT

CHANGE WORKSHEET

Agency/Subagency U.S. Department of Housing and Urban Development Office of Housing, Office of Public and Indian Housing							OMB Control Number 2577-0259
Enter only items that change Current record New record
Agency form number(s)
Annual reporting and recordkeeping hour burden
	Number of respondents				70		335
	Total annual responses				70		335
			Percent of these responses collected electronically
	Total annual hours				70		6,258.45
	Difference
	Explanation of difference						0
				Program change			0
				Adjustment			6,258.45
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 request is a for a non-substantial change to include The Office of Multifamily Housing, Office of Housing Assistance and Grant Administration Section 811 Project Rental Assistance Demonstration Program NOFA respondents.. This collection covers the same environment, had the same functions, used the same or similar forms and collected the same information as the Rental Project NOFA program.
Signature of Senior Official or designee:						Date:	For OIRA Use _______________ ______________

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

OMB FORM 83-C 10/95