PAPERWORK REDUCTION ACT
CHANGE WORKSHEET
Agency/Subagency Department of
Housing and Urban Development
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OMB Control Number
2577-0300
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Enter only items that change Current Record New Record |
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Agency form number(s)
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HUD-50093 HUD-50094 HUD-50095 HUD-50096 |
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Annual reporting and record keeping hour burden |
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Number of respondents |
194 |
194 |
Total annual responses |
974 |
974 |
Percent of these responses collected electronically |
100
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100 |
Total annual hours |
537.5 |
537.5 |
Difference |
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0 |
Explanation of difference
Program Change |
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Adjustment |
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Annual reporting and record keeping cost burden (in thousands of dollars) |
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Total annualized capital/startup costs |
NA |
NA |
Total annual costs (O&M) |
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Total annualized cost requested |
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Difference |
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Explanation of difference Program Change |
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Adjustment |
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HUD-50093: Changed the form title to “Shortfall Program Improvement Plan”
HUD-50094: Removed text at top of the form and changed the form title of the form to “Shortfall Budget.”
HUD-50095: Made edits to the form title. Added field for “PHA Requested Lower Amount.” Made text updates to the Shortfall Tier 1 and Shortfall Tier 2 certification text to improve clarity.
HUD-50096: Changed references to the Notice 2021-12 to say the “current Shortfall notice.” Renumbered the list supporting documents.
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Signature of Senior Officer or designee:
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Date:
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For OIRA Use
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**This form cannot be used to extend an expiration date
OMB 83-C
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Title | OMB Form 83C |
Subject | Clearance Package change worksheet |
Author | James Vaughan |
File Modified | 0000-00-00 |
File Created | 2022-09-05 |