83c

83C 2577-0300 20220401.docx

OpFund Shortfall

83c

OMB: 2577-0300

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PAPERWORK REDUCTION ACT

CHANGE WORKSHEET


Agency/Subagency

Department of Housing and Urban Development
Office of Public and Indian Housing



OMB Control Number


2577-0300


Enter only items that change

Current Record New Record

Agency form number(s)





HUD-50093

HUD-50094

HUD-50095

HUD-50096



Annual reporting and record keeping

hour burden



Number of respondents

194

194

Total annual responses

974

974

Percent of these responses

collected electronically

100


100

Total annual hours

537.5

537.5

Difference


0


Explanation of difference


Program Change




Adjustment


     

Annual reporting and record keeping cost burden (in thousands of dollars)


Total annualized capital/startup

costs

NA

NA

Total annual costs (O&M)



Total annualized cost requested



Difference




Explanation of difference

Program Change



     


Adjustment


     

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.


Shape1 Shape2 Signature of Senior Officer or

designee:



     



Date:



     


For OIRA Use

     

     

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

OMB 83-C

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleOMB Form 83C
SubjectClearance Package change worksheet
AuthorJames Vaughan
File Modified0000-00-00
File Created2022-09-05

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