Application for the Resident Opportunities and Self Sufficiency (ROSS) Program

Forms and Documents

Document Name	Status
Form HUD-52752 Application for the Resident Opportunities and Self Sufficiency (ROSS) Program Form and Instruction	Modified
83c.ROSS 52768.FY21.dot Justification for No Material/Nonsubstantive Change	2021-03-19
2577-0229.pdf Supplementary Document	2020-08-31
HUD PTA Template 2020 v1.docx Supplementary Document	2020-01-08
IPA Forms.docx Supplementary Document	2020-01-08
Published 60-day ROSS FR.pdf Supplementary Document	2020-01-08
2577-0229 Supporting Statement with 8-27-2020.docx Supporting Statement A	2020-08-28

IC Document Collections

IC ID	Document Title	Status
42121	Application for the Resident Opportunities and Self Sufficiency (ROSS) Program Form and Instruction	Modified

ICR Details

OMB Control No: 2577-0229	ICR Reference No: 202103-2577-003
Status: Received in OIRA	Previous ICR Reference No: 201910-2577-002
Agency/Subagency: HUD/PIH	Agency Tracking No: 2577-0229
Title: Application for the Resident Opportunities and Self Sufficiency (ROSS) Program
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 03/19/2021

	Requested	Previously Approved
Expiration Date	01/31/2024	01/31/2024
Responses	350	350
Time Burden (Hours)	1,376	1,376
Cost Burden (Dollars)	0	0

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Abstract: Application for the ROSS Service Coordinator grant program for Public Housing; Eligible applicants are PHAs, Tribes/TDHEs, Non-Profits and Resident Associations. Information collected will be used to evaluate applications and award grants.

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Authorizing Statute(s): PL: Pub.L. 105 - 276 112 Stat. 2461 Name of Law: Public Housing Reform 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:
	84 FR 7015	12/26/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 7024	08/04/2020
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
Application for the Resident Opportunities and Self Sufficiency (ROSS) Program	HUD 52768, HUD-52752, HUD-52753, HUD-52755, 52768	Certification Of Consistency With The Indian Housing Plan ,   ROSS Funding Certification of Resident Council Board ,   Sample Contract Administrator Partnership Agreement ,   Resident Opportunity & Self Sufficiency (ROSS) Service Coordinator Funding ,   Resident Opportunity & Self Sufficiency (ROSS) Service Coordinator Funding

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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	350	350	0	0	0	0
Annual Time Burden (Hours)	1,376	1,376	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement: The Logic Model form is no longer required as part of the application process and burden hours have been reduced from a total of 1,907 to a total of 1,075.5 burden hours.

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Annual Cost to Federal Government: $0

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: 03/19/2021

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