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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:
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
URL
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
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:
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
0
0
-350
0
0
350
Annual IC Time Burden (Hours)
0
0
-1,376
0
0
1,376
Annual IC Cost Burden (Dollars)
0
0
0
0
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.