Information Collection

Application for the Resident Opportunities and Self Sufficiency (ROSS) Program

IC 42121 under ICR 200702-2577-001 · OMB 2577-0229.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2577-0229 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 52755 Sample Contract Administrator Partnership Agreement Application for the Resident Opportunities and Self Sufficiency (ROSS) Program	Form and Instruction
Form HUD-52751 Ross Fund Fact Sheet Application for the Resident Opportunities and Self Sufficiency (ROSS) Program	Form and Instruction
Form 52767 PHA FSS Request Form Application for the Resident Opportunities and Self Sufficiency (ROSS) Program	Form and Instruction
Form 52753 ROSS ResCouncBoardElec Application for the Resident Opportunities and Self Sufficiency (ROSS) Program	Form and Instruction
Form 52757 ROSS ChartBAppAdminTrackRec Application for the Resident Opportunities and Self Sufficiency (ROSS) Program	Form and Instruction
Form 52763 ROSS Sample Work Plan RSDM Family Application for the Resident Opportunities and Self Sufficiency (ROSS) Program	Form and Instruction
Form HUD 52752 Cert. with Indian Hsng. Plan Application for the Resident Opportunities and Self Sufficiency (ROSS) Program	Form and Instruction
Form HUD 52754 Lis of Resid. Assoc. Supporting Nonprofit Applicants Application for the Resident Opportunities and Self Sufficiency (ROSS) Program	Form and Instruction
Form HUD 52756 Program Staffing Application for the Resident Opportunities and Self Sufficiency (ROSS) Program	Form and Instruction
Form SF424 Application for Federal Assistance Application for the Resident Opportunities and Self Sufficiency (ROSS) Program	Form and Instruction
Form SF424 Suppplement Survey on Ensuring Equal Opportunity for Applicants Application for the Resident Opportunities and Self Sufficiency (ROSS) Program	Form and Instruction
Form HUD 424 cb Grant Application Detailed Budget Application for the Resident Opportunities and Self Sufficiency (ROSS) Program	Form and Instruction
Form HUD 424 cbw Grant Application Detailed Budget Worksheet Application for the Resident Opportunities and Self Sufficiency (ROSS) Program	Form and Instruction
Form HUD 2880 Applicant/Recipient Disclosure/Update Report Application for the Resident Opportunities and Self Sufficiency (ROSS) Program	Form and Instruction
Form HuD 2990 Certification of Consistency with RC/EZ/EC-II Strategic Application for the Resident Opportunities and Self Sufficiency (ROSS) Program	Form and Instruction
Form SF LLL Disclosure of Lobbying Activities Application for the Resident Opportunities and Self Sufficiency (ROSS) Program	Form and Instruction
Form HUD 96010 Logic Model Application for the Resident Opportunities and Self Sufficiency (ROSS) Program	Form and Instruction
Form HUD 27300 Removal of Regulatory Application for the Resident Opportunities and Self Sufficiency (ROSS) Program	Form and Instruction
2991.pdf	Other-Certification
52755 Sample Contract Administrator Partnership Agreement Sample Contract Administrator Partnership Agreement.pdf	Form and Instruction
HUD-52751 Ross Fund Fact Sheet 52751.pdf	Form and Instruction
52767 PHA FSS Request Form 52767.pdf	Form and Instruction
52753 ROSS ResCouncBoardElec 52753 ROSS ResCouncBoardElec.rtf	Form and Instruction
52757 ROSS ChartBAppAdminTrackRec 52757 ROSS ChartB-AppAdminTrackRec.rtf	Form and Instruction
52763 ROSS Sample Work Plan RSDM Family 52763 ROSS Sample Work Plan.RSDM Family.doc	Form and Instruction
HUD 52752 Cert. with Indian Hsng. Plan hud-52752.pdf	Form and Instruction
HUD 52754 Lis of Resid. Assoc. Supporting Nonprofit Applicants hud-52754.pdf	Form and Instruction
HUD 52756 Program Staffing hud-52756.pdf	Form and Instruction
SF424 Application for Federal Assistance sf424.doc	Form and Instruction
SF424 Suppplement Survey on Ensuring Equal Opportunity for Applicants sf424sup.doc	Form and Instruction
HUD 424 cb Grant Application Detailed Budget 424-cb.xls	Form and Instruction
HUD 424 cbw Grant Application Detailed Budget Worksheet 424-cbw.xls	Form and Instruction
HUD 2880 Applicant/Recipient Disclosure/Update Report 2880.doc	Form and Instruction
HuD 2990 Certification of Consistency with RC/EZ/EC-II Strategic 2990.pdf	Form and Instruction
SF LLL Disclosure of Lobbying Activities SF LLL.pdf	Form and Instruction
HUD 96010 Logic Model 96010.pdf	Form and Instruction
HUD 27300 Removal of Regulatory 27300.doc	Form and Instruction

Information Collection (IC) Details

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: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 24 CFR 538

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	52755	Yes	Yes	Fillable Fileable
Form and Instruction	HUD-52751	Yes	Yes	Fillable Fileable
Form and Instruction	52767	Yes	Yes	Fillable Fileable
Form and Instruction	52753	Yes	Yes	Fillable Fileable
Form and Instruction	52757	Yes	Yes	Fillable Fileable
Form and Instruction	52763	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 52752	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 52754	Yes	Yes	Fillable Printable
Form and Instruction	HUD 52756	Yes	Yes	Fillable Fileable
Form and Instruction	SF424	Yes	Yes	Fillable Fileable
Form and Instruction	SF424 Suppplement	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 424 cb	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 424 cbw	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 2880	Yes	Yes	Fillable Fileable
Form and Instruction	HuD 2990	Yes	Yes	Fillable Fileable
Other-Certification		Yes	Yes	Fillable Fileable
Form and Instruction	SF LLL	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 96010	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 27300	Yes	Yes	Fillable Fileable

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: 650

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	650	0	-200	850
Annual IC Time Burden (Hours)	10,458	-25,921	-5,264	41,643
Annual IC Cost Burden (Dollars)	0	0	0	0

Documents for IC

table that charts IC Documents
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.

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].