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

Forms and Documents

Document	Type	Status	Availability
Form 52755 Application for the Resident Opportunities and Self Sufficiency (ROSS) Program	Form and Instruction	Modified	Available
ICR 2577-0229.doc	Supporting Statement A	Uploaded 2008-01-04	Available

IC Document Collections

IC ID	Collection	Type	Status	Form
42121	Application for the Resident Opportunities and Self Sufficiency (ROSS) Program	Form and Instruction	Modified

ICR Details

OMB Control No: 2577-0229	ICR Reference No: 200801-2577-001
Status: Historical Active	Previous ICR Reference No: 200707-2577-002
Agency/Subagency: HUD/PIH	Agency Tracking No:
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
OIRA Conclusion Action: Approved with change	Conclusion Date: 03/04/2008
	Date Received in OIRA: 01/04/2008
Terms of Clearance: Approved with change. HUD will update ICR 2510-0011 if any changes are necessary to HUD form 2880.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2011	36 Months From Approved	05/31/2010
Responses	650	0	650
Time Burden (Hours)	4,300	0	10,458
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:
	72 FR 198	10/15/2007
30-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 245	12/21/2007
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, 52755, SF424, SF424 Suppplement, 52767, HUD 52752, HUD 52754, HUD 2880, HuD 2990, HUD 96010, SF LLL, HUD 52769, HUD 52768	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

---

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	650	0	0	0	0
Annual Time Burden (Hours)	4,300	10,458	0	-6,158	0	0
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: Yes

Burden Reduction Due to: Changing Forms

Short Statement: This collection package is a revision to currently approved collection. The burden hours previously reported were 10,458. There is a reduction of 6158 hours. Several forms were eliminated: HUD-52751, HUD-52763, HUD-52764, HUD-52756, HUD-52757, HUD-424-CB, HUD-424-CBW, HUD-27300 used in prior years. The two new forms were added: HUD-52768 and HUD-52769. The burden hours were estimated by HUD staff who 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]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

---

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: 01/04/2008

---