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PAPERWORK REDUCTION ACT
CHANGE WORKSHEET
Ü»°¿®¬³»²¬ ±º ر«-·²¹ ¿²¼ Ë®¾¿² Ü»ª»´±°³»²¬ øØËÜ÷
Agency form number (s)
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OMB Control Number
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Enter only items that change
Current record
New record
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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
Total annual costs (O&M)
Total annualized cost requested
Difference
Explanation of difference
Other changes**
Program change
Adjustment
Signature of Senior Official or designee:
Date:
îñïïñîðîë
** This form cannot be used to extend an expiration date.
OMB 83-C
For OIRA Use
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10/95
File Type | application/pdf |
File Title | OMB 83-C Form HUD-92904.pdf |
Author | H13287 |
File Modified | 2025-02-11 |
File Created | 2025-02-11 |