OMB 83-c

OMB 83c-IWISH.docx

Evaluation of the Supportive Services Demonstration

OMB 83-c

OMB: 2528-0321

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Paperwork Reduction Act

Change Worksheet

Agency/Subagency:

U.S. Department of Housing and Urban Development


OMB Control Number:

2528-0321

Enter only items that change

Current Record

New Record**

Agency form number(s):

     


     

Annual reporting and keeping hour burden




Number of respondents

328

378


Total annual responses

328

378


Percent of these responses collected electronically

0 %

0 %


Total annual hours

724

814


Difference


90


Explanation of difference

Program change

Adjustment


More residents have been interested in participating in interviews. This increase lets us interview more interested residents.


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: **

Signature of Senior Official or Designee:





X

Date:

For OIRA Use




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

OMB 83-C 10/95

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitlePaperwork Reduction Act
AuthorHUD
File Modified0000-00-00
File Created2023-10-26

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