Family Self-Sufficiency Program (FSS)

Forms and Documents

Document Name	Status
Form HUD-1044 Family Self-Sufficiency Program (FSS) Form and Instruction	Modified
83i_ Supporting Statement 12-9-2020.docx Supporting Statement A	2020-12-09
30-day FRN - 2020-24640.pdf Supplementary Document	2020-12-09
Published 60-day FR Notice.pdf Supplementary Document	2017-04-18
Initial Privacy Assessment.docx Supplementary Document	2017-04-18

IC Document Collections

IC ID	Document Title	Status
27844	Family Self-Sufficiency Program (FSS) Form and Instruction	Modified

ICR Details

OMB Control No: 2577-0178	ICR Reference No: 202009-2577-001
Status: Received in OIRA	Previous ICR Reference No: 201609-2577-003
Agency/Subagency: HUD/PIH	Agency Tracking No: 2577-0178
Title: Family Self-Sufficiency Program (FSS)
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 12/09/2020

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	740	0
Time Burden (Hours)	67,250	0
Cost Burden (Dollars)	0	0

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Abstract: Housing agencies enter into a Contract of Participation with each eligible family that opts to participate in the program; consult with local officials to develop an Action Plan; and report annually to HUD on implementation of the FSS program. PHAs may apply for funding to pay the salary (including fringe benefits) of FSS program coordinators.

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Authorizing Statute(s): PL: Pub.L. 101 - 625 23(c) Name of Law: National Affordable Housing Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 45917	07/30/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 71085	11/06/2020
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Family Self-Sufficiency Program (FSS)	HUD-1044, HUD-50058, HUD-52651, HUD-52650, HUD-52652, HUD-2880, HUD-52755	Assistance Award/Amendment ,   Family Report ,   Family Self-Sufficiency (FSS) Program Coordinator Funding ,   Family Self-Sufficiency (FSS) Program Contract of Participation - Housing Choice Voucher Public and Indian Housing Programs ,   Family Self-Sufficiency Program FSS Escrow Account Credit Worksheet ,   Applicant/Recipient Disclosure/Update Report ,   SAMPLE CONTRACT - Administrative Partnership Agreement

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ICR Summary of Burden

	Total Request	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	740	0	0	-60	0	800
Annual Time Burden (Hours)	67,250	0	0	30,507	0	36,743
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: Action Plans increased from 5 to 20 because the number of new programs has increased. The HUD-52652 Escrow Credit Worksheet and HUD-50058 Family Report numbers of respondents have been adjusted to conform with the number of participants that appear in the PIC system. We would expect one response per participant each year.

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Annual Cost to Federal Government: $125,870

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 12/09/2020

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