83-c

omb83-c. 2528-0335.pdf

Evaluation of the Older Adults Home Modification Grant Program

83-c

OMB: 2528-0335

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PAPERWORK REDUCTION ACT
CHANGE WORKSHEET
Agency/Subagency

OMB control number

Department of Housing and Urban Development

2

5

2

8

0

3

3

5

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

Annual reporting and recordkeeping hour
burden
Number of respondents

15,921

25,481

Total annual responses

15,921

25,481

Percent of these responses
collected electronically
Total annual hours

0 %

0%

4,401

6,255
-1,854

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)

0.00

Total annualized cost requested

0.00
0.00

Difference
Explanation of difference
Program change
Adjustment
Other changes**

Change to move recently approved (5) instruments into proper area within ROCIS.

Signature of Senior Official or designee:

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

Date:

For OIRA Use

Reset

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File Typeapplication/pdf
File TitleOMB Form 83-C, Paperwork Reduction Act Change Worksheet, October 1995
AuthorWHS/ESD/IMD
File Modified2022-07-20
File Created2007-08-09

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