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Application for the Resident Opportunities and Self Sufficiency (ROSS) Program
Application for the Resident Opportunities and Self Sufficiency (ROSS) Program
OMB: 2577-0229
IC ID: 42121
OMB.report
HUD/PIH
OMB 2577-0229
ICR 201910-2577-002
IC 42121
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2577-0229 can be found here:
2023-06-15 - Revision of a currently approved collection
2021-03-19 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Form HUD 52768
Application for the Resident Opportunities and Self Sufficiency (ROSS) Program
Form and Instruction
HUD-52752 Certification Of Consistency With The Indian Housing Pla
52752.pdf
Form and Instruction
HUD-52753 ROSS Funding Certification of Resident Council Board
52753.pdf
Form and Instruction
HUD-52755 Sample Contract Administrator Partnership Agreement
52755.pdf
Form and Instruction
HUD 52768 Resident Opportunity & Self Sufficiency (ROSS) Service C
HUD 52768.pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Application for the Resident Opportunities and Self Sufficiency (ROSS) Program
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
24 CFR 538
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
HUD 52768
Resident Opportunity & Self Sufficiency (ROSS) Service Coordinator Funding
HUD 52768.pdf
Yes
Yes
Fillable Fileable Signable
Form and Instruction
HUD-52752
Certification Of Consistency With The Indian Housing Plan
52752.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
HUD-52753
ROSS Funding Certification of Resident Council Board
52753.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
HUD-52755
Sample Contract Administrator Partnership Agreement
52755.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Homeownership Promotion
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
350
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
100 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
350
0
0
0
0
350
Annual IC Time Burden (Hours)
1,376
0
-531
0
0
1,907
Annual IC Cost Burden (Dollars)
0
0
0
0
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.