83-c

Paperwork Reduction Act

Change Worksheet

Agency/Subagency: U.S. Department of Housing and Urban Development			OMB Control Number: 2528-0039
Enter only items that change		Current Record		New Record**
Agency form number(s): Not applicable. This is a survey and interview.		     		     
Annual reporting and keeping hour burden
	Number of respondents
	Total annual responses
	Percent of these responses collected electronically
	Total annual hours
	Difference	0		     
	Explanation of difference Changes will not affect number of respondents or burden			           
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	0		     
	Explanation of difference Changes will not affect reporting and recordkeeping cost			           

Other change:

This submission includes non-substantive changes to the 30-month follow-up survey for the heads of household that are part of the Stepped and Tiered Rent Demonstration (STRD) Evaluation. The proposed changes to this instrument have been made to enhance participant comprehension and more accurately measure the intended information. We do not anticipate these revisions to affect either the annual reporting and recordkeeping hour burden or the annual reporting and recordkeeping cost burden for the data collection. Please see the second page for details on the proposed changes to each item.

Attachment: Proposed Edits to 30-Month Follow-up Survey

Section of Survey Being Modified	Summary of Revisions
Employment	Remove response option from question 3b and add a follow up question 3c to better capture permanent/temporary/seasonal/other employment types.
Program Group Experiences	Rephrasing questions to use more precise language about rent payments. Questions H1a:H1e are asked only of the treatment group. We are adding a similar set of questions to capture comparable information for the control group.

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