83c

Paperwork Reduction Act

Change Worksheet

Agency/Subagency: U.S. Department of Housing and Urban Development			OMB Control Number: 2506-0213
Enter only items that change		Current Record		New Record**
Agency form number(s): NONE		N/A		N/A
Annual reporting and keeping 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 change: **

Please change the name on the PRA from Veterans Home Rehabilitation to Veterans Housing Rehabilitation and Modification Program. This is the title that should have been on the document from the start.

Signature of Senior Official or Designee: X Lillian L. Deitzer, Departmental Paperwork Reduction Act Officer, OCIO

Date:

For OIRA Use

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

OMB 83-C 10/95