2577-0304 Nonsubstantive Change Form HUD-5980A

Paperwork Reduction Act

Change Worksheet

Agency/Subagency: U.S. Department of Housing and Urban Development			OMB Control Number: 2577-0304
		Current Record		New Record**
Agency form number(s): Form HUD-5980A
Annual reporting and keeping hour burden
	Number of respondents	35		35
	Total annual responses	875		875
	Percent of these responses collected electronically	100%		100%
	Total annual hours	1312.50		1312.50
	Difference			0.00
	Explanation of difference Program change Adjustment
Annual reporting and recordkeeping cost burden (in thousands of dollars)				No Difference
	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:

Changed the drop-down options under sex to only Male and Female. Also, adjusted the definition tab language under “Sex,” removing “Other.”

Signature of Senior Official or Designee:

Date:

For OIRA Use

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

OMB 83-C 10/95