83-c

omb83-c-PDR-MTO-Removal.pdf

License for the Use of Personally Identifiable Information Protected Under the E-Government Act of 2002, Title V and the Privacy Act of 1974

83-C

OMB: 2528-0297

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PAPERWORK REDUCTION ACT
CHANGE WORKSHEET
Agency/Subagency

OMB control number

Housing and Urban Development/Policy Development and Research

2

5

2

8

0

2

9

7

Enter only items that change
Current record
New record
Agency form number(s)

N/A

N/A

Annual reporting and recordkeeping hour
burden
Number of respondents

25

25

Total annual responses

25

25

Percent of these responses
collected electronically
Total annual hours

100 %

100 %

1

1
0

Difference
Explanation of difference
Program change

0

Adjustment

1

Annual reporting and recordkeeping cost
burden (in thousands of dollars)
Total annualized Capital/Startup costs
Total annual costs (O&M)

0.00

Total annualized cost requested

0.00
0.00

Difference
Explanation of difference
Program change
Adjustment
Other changes**

Removed the word MTO from one section in the Form

Signature of Senior Official or designee:

Ted Payne
**This form cannot be used to extend an expiration date.
OMB FORM 83-C, 10/95

Date:

For OIRA Use

5/3/2018

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File Typeapplication/pdf
File TitleOMB Form 83-C, Paperwork Reduction Act Change Worksheet, October 1995
AuthorWHS/ESD/IMD
File Modified2018-05-03
File Created2007-08-09

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