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 52752.pdf 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-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-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
HUD 52768 Resident Opportunity & Self Sufficiency (ROSS) Service C HUD 52768.pdf Form and Instruction
52768 Resident Opportunity & Self Sufficiency (ROSS) Service C HUD 52768 ROSS-SC Funding form FY 2021.docx Form and Instruction
52768 Resident Opportunity & Self Sufficiency (ROSS) Service C HUD 52768 ROSS-SC Funding form FY 2021.docx Form and Instruction
83c.ROSS 52768.FY21.dot 83 C IC Document
83c.ROSS 52768.FY21.dot 83 C IC Document

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: Removed

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
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
Form and Instruction	HUD 52768	Resident Opportunity & Self Sufficiency (ROSS) Service Coordinator Funding	HUD 52768.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	52768	Resident Opportunity & Self Sufficiency (ROSS) Service Coordinator Funding	HUD 52768 ROSS-SC Funding form FY 2021.docx	Yes	Yes	Fillable Fileable Signable

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 %

	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-350	350
Annual IC Time Burden (Hours)	-1,376	1,376
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
83 C	83c.ROSS 52768.FY21.dot	03/19/2021

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