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OMB Control No: 2577-0229	ICR Reference No: 202607-2577-001
Status: Received in OIRA	Previous ICR Reference No: 202503-2577-004
Agency/Subagency: HUD/PIH	Agency Tracking No: 2577-0229
Title: Application for the Resident Opportunities and Self Sufficiency (ROSS) Program
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 09/01/2026

	Requested	Previously Approved
Expiration Date	36 Months From Approved	09/30/2026
Responses	525	350
Time Burden (Hours)	1,163	1,181
Cost Burden (Dollars)	0	0

ICR Summary of Burden

	Total Request	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	525	350	175
Annual Time Burden (Hours)	1,163	1,181	-18
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: Miscellaneous Actions

Short Statement: This is a reinstatement with change of currently approved collection. There have been no additions to the collection, but we have removed Form HUD-52752, Certification of Consistency with the Indian Housing Plan, thus reducing the burden hours of this collection. In addition, Form HUD-52766 Sample Business Plan for Applicants of the ROSS Neighborhood Networks Funding Category, has been removed as it is no longer relevant to the ROSS program. This also reduces the burden hours of this collection.

Annual Cost to Federal Government: $10,904

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: Sara Arman 202 402-9999 sara.o.arman@hud.gov

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