View Information Collection (IC)
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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
Final - HUD Form-52650 FSS CoP.docx
Yes
Yes
Fillable Fileable Signable
Form and Instruction
HUD-2880
Applicant/Recipient Disclosure/Update Report
2880 8-14-25.pdf
Yes
Yes
Fillable Fileable Signable
Form and Instruction
HUD-52651
Family Self-Sufficiency (FSS) Program Coordinator Funding
Final - HUD Form 52651 Application.docx
Yes
Yes
Fillable Fileable Signable
Form and Instruction
424B
Applicant and Recipient Assurances and Certifications
424B 8-14-25.pdf
Yes
Yes
Fillable Fileable Signable
Form and Instruction
SF-424
Application for Federal Assistance
SF424 8-14-25.pdf
Yes
Yes
Fillable Fileable Signable
Form and Instruction
SF-425
Federal Financial Report
SF425 8-14-25.pdf
Yes
Yes
Fillable Fileable Signable
Form and Instruction
SFLLL
Disclosure of Lobbying Activities
SFLLL 8-14-25.pdf
Yes
Yes
Fillable Fileable Signable
Form and Instruction
52651-B
FSS Monitoring Review Tool
Final - HUD Form-52651-B FSS Monitoring Review Tool.docx
Yes
Yes
Fillable Fileable Signable
Form and Instruction
52651-C
FSS Annual Survey
Final HUD Form-52651-C FSS Annual Survey.docx
Yes
Yes
Fillable Fileable Signable
Instruction
FSS PBRA Reporting Tool HUD-XXXXX 8-14-25.xlsx
Yes
Yes
Fillable Fileable Signable
Form and Instruction
50058 Family Report
Family Report HCV-Sec Moderate Rehabiliation Program
HUD-50058 Family Report HCV-Sec Moderate Rehabilitation Program 8-14-25.docx
Yes
Yes
Fillable Fileable Signable
Form and Instruction
50058 MTW Expansion
MTW Expaansion Family Report PH-HCV
HUD-50058 MTW Expansion Family Report PH-HCV 8-14-25.docx
Yes
Yes
Fillable Fileable Signable
Form and Instruction
50058 Family Report
MTW Family Report
HUD-50058 MTW Family Report 8-14-25.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:
5,450
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
100 %
Requested
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
28,810
0
28,070
0
740
0
Annual IC Time Burden (Hours)
39,520
0
-27,730
0
67,250
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.