OMB 83-c

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