OMB 83-C Change Worksheet

PAPERWORK REDUCTION ACT

CHANGE WORKSHEET

Agency/Subagency U.S. Department of Housing and Urban Development Office of Housing, Office of Multifamily Housing Development							OMB Control Number 2502-0542
Enter only items that change Current record New record
Agency form number(s) HUD-92046 HUD-92047
Annual reporting and recordkeeping 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			0		0
		Total annual costs (O&M)			0		0
		Total annualized cost requested			0		0
		Difference					0
		Explanation of difference
				Program change
				Adjustment
Other changes** HUD requests minor, nonsubstantive changes to two forms related to the Emergency Capital Repair Grants Program. Form HUD-92046, Rental Use Agreement: Page 1, paragraph 2, changing the language for clarification. Form HUD-92047, Grant Agreement: Page 1, appropriations language, which changes every year, will be filled in by field office staff.
Signature of Senior Official or designee:						Date:	For OIRA Use _______________ ______________

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

OMB FORM 83-C 10/95