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OMB Control No: 2577-0178	ICR Reference No: 202508-2577-002
Status: Received in OIRA	Previous ICR Reference No: 202009-2577-001
Agency/Subagency: HUD/PIH	Agency Tracking No: 2577-0178
Title: Family Self-Sufficiency Program (FSS)
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 09/03/2025

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	28,810	0
Time Burden (Hours)	39,520	0
Cost Burden (Dollars)	0	0

Abstract: Housing agencies enter into a Contract of Participation with each eligible family that opts to participate in the program; consult with local officials to develop an Action Plan; and report annually to HUD on implementation of the FSS program. PHAs may apply for funding to pay the salary (including fringe benefits) of FSS program coordinators.

Authorizing Statute(s): PL: Pub.L. 101 - 625 23(c) Name of Law: National Affordable Housing 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:
	90 FR 25070	06/13/2025
30-day Notice:	Federal Register Citation:	Citation Date:
	90 FR 42422	09/02/2025
Did the Agency receive public comments on this ICR? Yes

ICR Summary of Burden

	Total Request	Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses	28,810	28,070	740
Annual Time Burden (Hours)	39,520	-27,730	67,250
Annual Cost Burden (Dollars)	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: Yes

Burden Reduction Due to: Changing Forms

Short Statement: Reinstatement with changes of previously approved collection for which approval has expired The numbers are based on the following assumptions. The numbers have increased due to increased funding. The requirements have not changed. • Annual Applications/Grantees – 1000 o PIH Applications/Grantees – 800 o MF Applications/Grantees – 200 • Future new grantees – 200 • New Cooperative Agreements each year 250 • New participants each year 25,000 • Total participants each year 100,000 o PIH participants 80,000 o MF participants 20,000 • All applicants submit an SF-424, HUD-424B, HUD-52651 and a HUD-2880. They submit an SF-LLL if applicable. We may have a narrative for all applicants in the future. • All new grantees submit an FSS Action Plan • Every new participant requires a HUD-52650 Contract of Participation • Every PIH participant is reported on the HUD-50058 (or HUD-50058-MTW or HUD-50058-MTW Expansion). Since there is no FSS Addendum on the HUD-50059, we don’t use it. Instead, PBRA owners submit one PBRA FSS Reporting Tool (HUD-52653) each year. • Every FSS program will complete an Annual Survey once per year. • PIH will conduct a monitoring review of each program once every five years.

Annual Cost to Federal Government: $88,886

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. 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? No

Agency Contact: Anice Chenault 502 618-8163

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