83 C

Paperwork Reduction Act

Change Worksheet

Agency/Subagency: U.S. Department of Housing and Urban Development			OMB Control Number: 2577-0029
Enter only items that change		Current Record		New Record**
Agency form number(s): HUD-52723		     		     
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: **

Changed the labels of two existing fields and consolidated two existing fields into one field. Updated instructions to explain for consolidating fields and clear up some grammar and clarity issues.

HUD-52723: The form changes re-labels Section 3, Part A, Line 08 to Add-on-subsidy (AOS) incentive energy performance (EPC) and Section 3, Part B, Line 03 to Resident paid utility (RPU) incentive energy performance contract (EPC). Updates were made to the instructions to improve grammar and clarity.

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

Signature of Senior Official or Designee: X Collette Pollard, 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