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

Documents and Forms

Document Name Document Type
Form HUD-52752 Application for the Resident Opportunities and Self Sufficiency (ROSS) Program Form and Instruction
HUD-52752 Certification of Consistency with the Indian Housing Pla HUD 52752 Certification of Consistency with the Indian Housing Plan.rtf Form and Instruction
HUD-52752 Certification of Consistency with the Indian Housing Pla HUD 52752 Certification of Consistency with the Indian Housing Plan.rtf Form and Instruction
HUD-52753 Resident Opportunity and Self Sufficiency Service Coordi HUD 52753 Resident Opportunity and Self Sufficiency Service Coordinator Funding.rtf Form and Instruction
HUD-52753 Resident Opportunity and Self Sufficiency Service Coordi HUD 52753 Resident Opportunity and Self Sufficiency Service Coordinator Funding.rtf Form and Instruction
HUD-52755 Sample Contract Admin Partnership Agreement HUD 52755 Sample Contract Admn Partnership Agreement.docx Form
HUD-52755 Sample Contract Admin Partnership Agreement HUD 52755 Sample Contract Admn Partnership Agreement.docx Form
HUD-52768 ROSS Service Coordinator Funding HUD 52768 ROSS Service Coordinator Funding.docx Form and Instruction
HUD-52768 ROSS Service Coordinator Funding HUD 52768 ROSS Service Coordinator Funding.docx 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: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	HUD-52752	Certification of Consistency with the Indian Housing Plan	HUD 52752 Certification of Consistency with the Indian Housing Plan.rtf	Yes	Yes	Fillable Printable
Form and Instruction	HUD-52753	Resident Opportunity and Self Sufficiency Service Coordinator Funding	HUD 52753 Resident Opportunity and Self Sufficiency Service Coordinator Funding.rtf	Yes	Yes	Fillable Printable
Form	HUD-52755	Sample Contract Admin Partnership Agreement	HUD 52755 Sample Contract Admn Partnership Agreement.docx	Yes	Yes	Fillable Printable
Form and Instruction	HUD-52768	ROSS Service Coordinator Funding	HUD 52768 ROSS Service Coordinator Funding.docx	Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

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 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	350	350
Annual IC Time Burden (Hours)	1,181	1,181
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.