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Paperwork Reduction Act Change Worksheet OMB 83-C

ICR 201005-2502-001 · OMB 2502-0086 · Object 17402801.

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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 2502-0086
Enter only items that change Current record New record
Agency form number(s) HUD-93104
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 desires only to change the mailing address on this form so that remittances can be directed to the proper office. The change is necessary due to a change in servicers.
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

OMB Control Number