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-52752	Certification of Consistency with the Indian Housing Plan	HUD 52752.pdf		Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD-52753	ROSS Funding - Certification of Election of Resident Council Board	HUD 52753.pdf		Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD-52754	List of Resident Organizations Supporting Nonprofit Applicants	HUD 52754.pdf		Yes	Yes	Fillable Printable
Form and Instruction	HUD-52755	Sample Contract - Administrative Partnership Agreement	HUD 52755.pdf		Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD-52768 - Revised Version	ROSS Service Coordinators - Funding Request	Form HUD-52768 revised for RAs and nonprofits.doc		Yes	Yes	Fillable Printable
Form and Instruction	HUD-52769 - Revised Version	ROSS Service Coordinators - NEEDS and SERVICE PARTNERS	Form HUD-52769 - Needs Providers Form.doc		Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD-52768 - Original Version	ROSS Service Coordinators - Funding Request	HUD-52768 - Original Version.pdf		Yes	Yes	Fillable Printable
Form and Instruction	HUD-52769 - Original Version	ROSS Service Coordinators - NEEDS and SERVICE PARTNERS	HUD-52769 - Original Version.pdf		Yes	Yes	Fillable Fileable Signable

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: 425	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	425	0	0	25	0	400
Annual IC Time Burden (Hours)	2,325	0	0	125	0	2,200
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.