83c

Paperwork Reduction Act

Change Worksheet

Agency/Subagency: U.S. Department of Housing and Urban Development			OMB Control Number: 2577-0282
Enter only items that change		Current Record		New Record**
Agency form number(s): 52681-B		03/2025		03/2025
Annual reporting and keeping hour burden
	Number of respondents	N/A		N/A
	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	N/A		N/A
	Total annual costs (O&M)	     		     
	Total annualized cost requested	     		     
	Difference			     
	Explanation of difference Program change Adjustment			           

Other change:

The changes will have no significant impact on information collection burden.

Fields to be Added to the Other Voucher Reporting Requirements of Form 52681-B:

• Number of Mainstream PBVs Under AHAP and Not Under HAP

• Number of Mainstream PBVs Under HAP and Leased

• Number of Mainstream PBVs Under HAP and Not Leased

• Number of Mainstream PBVs Under HAP and Not Leased with Vacancy Payment and Associated Vacancy HAP Expense

• HAP Expenses - Number of Mainstream PBVs Under HAP and Not Leased with Vacancy Payment and Associated Vacancy HAP Expense

• Mainstream Project Based Vouchers - Total HAP Expenses

Fields to be Added to the Other Unspent Funds Form 52681-B:

Fund Source 12 – Fund Source 20 (8 additional Fund Source Fields on Income/Expenses tab)

Signature of Senior Official or Designee: X Colette 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