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pdfPAPERWORK 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
Reset
Adobe Professional 7.0
File Type | application/pdf |
File Title | OMB Form 83-C, Paperwork Reduction Act Change Worksheet, October 1995 |
Author | WHS/ESD/IMD |
File Modified | 2018-05-03 |
File Created | 2007-08-09 |