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
This script is used to control the display of information in this page.
Display additional information by clicking on the following:
All
Brief and OIRA conclusion
Abstract/Justification
Legal Statutes
Rulemaking
FR Notices/Comments
IC List
Burden
Misc.
Common Form Info.
Certification
View Information Collection (IC) List
View Supporting Statement and Other Documents
Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
2577-0229
ICR Reference No:
201101-2577-001
Status:
Historical Active
Previous ICR Reference No:
200904-2577-002
Agency/Subagency:
HUD/PIH
Agency Tracking No:
PRA-2010-035
Title:
Application for the Resident Opportunities and Self Sufficiency (ROSS) Program
Type of Information Collection:
Reinstatement with change of a previously approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved with change
Conclusion Date:
08/12/2011
Retrieve Notice of Action (NOA)
Date Received in OIRA:
04/05/2011
Terms of Clearance:
OMB notes that thil collection was in violation of the Paperwork Reduction Act from April 1, 2011 until the date of this approval. Previous terms of clearance remain in effect. Finally, OMB notes that this should have been submitted as a Reinstatement without Change of a Previously Approved Collection.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
08/31/2014
36 Months From Approved
Responses
650
0
0
Time Burden (Hours)
3,201
0
0
Cost Burden (Dollars)
0
0
0
Abstract:
Application for the ROSS grant program: Resident Service Delivery Models-Family, Resident Service Delivey Models-Elderly, Family Self-Sufficiency for Public Housing, Homeownership Supportive Services, and Neighborhood Networks.
Authorizing Statute(s):
PL:
Pub.L. 105 - 276 112 Stat. 2461
Name of Law: Public Housing Reform Act
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
76 FR 164
01/03/2011
30-day Notice:
Federal Register Citation:
Citation Date:
76 FR 17663
03/30/2011
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
1
IC Title
Form No.
Form Name
Application for the Resident Opportunities and Self Sufficiency (ROSS) Program
52753, HUD-2994-A, HUD-2991, 52755, SF424, SF424 Suppplement, 52767, HUD 52752, HUD 52754, HUD 2880, HuD 2990, HUD 96010, SF LLL, HUD-52769, HUD-52768, HUD-52767, HUD-2993
Sample Contract Administrator Partnership Agreement
,
PHA FSS Request Form
,
ROSS ResCouncBoardElec
,
Cert. with Indian Hsng. Plan
,
Lis of Resid. Assoc. Supporting Nonprofit Applicants
,
Application for Federal Assistance
,
Survey on Ensuring Equal Opportunity for Applicants
,
Applicant/Recipient Disclosure/Update Report
,
Certification of Consistency with RC/EZ/EC-II Strategic
,
Disclosure of Lobbying Activities
,
Logic Model
,
Ross Service Coordinators- Funding Request
,
Ross Service Coordinators- Needs and Service Partners
,
Public Housing Family Self-Sufficiency Funding Request Form
,
Acknowledgment of Application Receipt
,
Certification of Consistency with the Consolidated Plan
,
Grant Applicant Survey
ICR Summary of Burden
Total Approved
Previously Approved
Change Due to New Statute
Change Due to Agency Discretion
Change Due to Adjustment in Estimate
Change Due to Potential Violation of the PRA
Annual Number of Responses
650
0
0
0
0
650
Annual Time Burden (Hours)
3,201
0
0
0
-1,099
4,300
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
No
Burden Increase Due to:
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
15. This collection package is an extension of a previously approved collection. The burden hours previously reported were 10,458. There is a reduction of 6158 hours. The reduction in burden hours is attributed to the ROSS effort shifting from a direct service program to a program, which will fund the salary and administrative expenses for Service Coordinators. As a result, several existing forms are being removed: HUD-52751, HUD-52763, HUD-52764, HUD-52756, HUD-52757, HUD-424-CB, HUD-424-CBW, and HUD-27300. In addition, two new forms were added: HUD-52768 and HUD-52769. The burden hours were estimated by HUD staff that completed sample packages of forms.
Annual Cost to Federal Government:
$0
Does this IC contain surveys, censuses, or employ statistical methods?
No
Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002?
No
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
No
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
No
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
No
Is this ICR related to the Pandemic Response?
Uncollected
Agency Contact:
Anice Schervish 2024022341
Common Form ICR:
No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Certification Date:
04/05/2011
An official website of the United States government
The .gov means it's official.
The site is secure.
