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Agenda
Reg Review
ICR
View Information Collection (IC)
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 52755
Sample Contract Administrator Partnership Agreement
Sample Contract Administrator Partnership Agreement.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
HUD 52753
ROSS ResCouncBoardElec
52753 ROSS ResCouncBoardElec.rtf
Yes
Yes
Fillable Fileable
Form and Instruction
HUD 52752
Cert. with Indian Hsng. Plan
hud-52752.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
HUD 52754
Lis of Resid. Assoc. Supporting Nonprofit Applicants
hud-52754.pdf
Yes
Yes
Fillable Printable
Form and Instruction
SF424
Application for Federal Assistance
sf424.doc
Yes
Yes
Fillable Fileable
Form and Instruction
SF424 Suppplement
Survey on Ensuring Equal Opportunity for Applicants
sf424sup.doc
Yes
Yes
Fillable Fileable
Form and Instruction
HUD 2880
Applicant/Recipient Disclosure/Update Report
2880.doc
Yes
Yes
Fillable Fileable
Form and Instruction
HuD 2990
Certification of Consistency with RC/EZ/EC-II Strategic
2990.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
SF LLL
Disclosure of Lobbying Activities
SF LLL.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
HUD 96010
Logic Model
96010.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
HUD-52768
Ross Service Coordinators- Funding Request
ROSS SC Application Form HUD-52768 .doc
Yes
No
Fillable Printable
Form and Instruction
HUD-52769
Ross Service Coordinators- Needs and Service Partners
ROSS SC needs-providers form HUD-52769 .doc
Yes
No
Fillable Printable
Form and Instruction
HUD-2993
Acknowledgment of Application Receipt
HUD-2993.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
HUD-2991
Certification of Consistency with the Consolidated Plan
HUD-2991.pdf
Yes
Yes
Fillable Fileable Signable
Form and Instruction
HUD-2994-A
Grant Applicant Survey
HUD-2994-A.doc
Yes
Yes
Fillable Fileable
Form and Instruction
HUD 52651
Housing Choice Voucher (HCV) Family Self-Sufficiency (FSS) Program Coordinator Funding
52651.doc
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:
700
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 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
700
0
0
50
0
650
Annual IC Time Burden (Hours)
2,425
0
-1,552
776
0
3,201
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.