83 C Change Request

Paperwork Reduction Act

Change Worksheet

Agency/Subagency: U.S. Department of Housing and Urban Development			OMB Control Number: 2577-0292
Enter only items that change		Current Record		New Record**
Agency form number(s): HUD-5883; HUD-5885     		     		     
Annual reporting and keeping hour burden
	Number of respondents	N/A		     N/A
	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	N/A		N/A
	Total annual costs (O&M)	     		     
	Total annualized cost requested	     		     
	Difference			     
	Explanation of difference Program change Adjustment			           

Other change: **

     

The PHMOD is proposing the following non-substantive changes:

• HUD-5883 & HUD-5885 are currently available as Word versions. HUD will replace the Word version with a Microsoft Form version.

These changes will have no impact on the information collection burden hours or costs.

Signature of Senior Official or Designee: X Wayne Eddins, 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