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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:
New
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
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 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
Federal Enterprise Architecture Business Reference Module
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 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
350
0
350
0
0
0
Annual IC Time Burden (Hours)
1,181
0
1,181
0
0
0
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.