Family Self-Sufficiency Program (FSS)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2577-0178 can be found here:

Documents and Forms

Document Name Document Type
Form HUD-52651 Family Self-Sufficiency Program (FSS) Form and Instruction
HUD-52650 Family Self-Sufficiency program Contract of Participatio 52650.pdf Form and Instruction
HUD-52651 Housing Choice V oucher (HCV) Family Self-Sufficiency (F 52651r10-2.doc Form and Instruction
HUD-52652 FSS Escrow Account Credit Worksheet 52652.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Family Self-Sufficiency Program (FSS)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Form and Instruction	HUD-52651	Housing Choice V oucher (HCV) Family Self-Sufficiency (FSS) Program Coordinator Funding	52651r10-2.doc	No	Fillable Printable
Form and Instruction	HUD-52650	Family Self-Sufficiency program Contract of Participation	52650.pdf	No	Fillable Printable
Form and Instruction	HUD-52652	FSS Escrow Account Credit Worksheet	52652.pdf	No	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Homeownership Promotion

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 800	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	46,600	46,600
Annual IC Time Burden (Hours)	39,206	39,206
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.