Skip to main content
An official website of the United States government
The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.
The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.
Search:
Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Family Self-Sufficiency Program (FSS)
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 23(g) (To search for a specific CFR, visit the
Code of Federal Regulations.
)
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
HUD-52650
Family Self-Sufficiency (FSS) Program Contract of Participation - Housing Choice Voucher Public and Indian Housing Programs
HUD 52650.docx
Yes
Yes
Fillable Fileable Signable
Form and Instruction
HUD-52652
Family Self-Sufficiency Program FSS Escrow Account Credit Worksheet
HUD 52652.docx
Yes
Yes
Fillable Printable
Form and Instruction
HUD-2880
Applicant/Recipient Disclosure/Update Report
HUD-2880.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
HUD-52755
SAMPLE CONTRACT - Administrative Partnership Agreement
HUD-52755.pdf
Yes
Yes
Fillable Fileable Signable
Form and Instruction
HUD-1044
Assistance Award/Amendment
1044.PDF
Yes
Yes
Fillable Fileable Signable
Form and Instruction
HUD-50058
Family Report
HUD-50058.PDF
Yes
Yes
Fillable Fileable Signable
Form and Instruction
HUD-52651
Family Self-Sufficiency (FSS) Program Coordinator Funding
HUD-52651.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:
800
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
100 %
PreApproved
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
800
0
60
0
0
740
Annual IC Time Burden (Hours)
71,126
0
3,876
0
0
67,250
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.