Information Collection

Family Self-Sufficiency Program (FSS)

IC 27844 under ICR 201007-2577-001 · OMB 2577-0178.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2577-0178 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form HUD-52650 Family Self-Sufficiency program Contract of Participation Family Self-Sufficiency Program (FSS)	Form and Instruction
Form HUD-52652 FSS Escrow Account Credit Worksheet Family Self-Sufficiency Program (FSS)	Form and Instruction
Form SF 424 Application for Federal Assistance Family Self-Sufficiency Program (FSS)	Form and Instruction
Form SF LLL Disclosure of Lobbying Activities Family Self-Sufficiency Program (FSS)	Form and Instruction
Form HUD 2880 Applicant/Recipient Disclosure/Update Report Family Self-Sufficiency Program (FSS)	Form and Instruction
Form HUD 50058 Family Report Family Self-Sufficiency Program (FSS)	Form and Instruction
Form HUD 52650- Arabic Family Self Sufficiency (FSS) Program Contract of Participation Family Self-Sufficiency Program (FSS)	Form
Form HUD 52650-Laotian Family Self Sufficiency (FSS) Program Contract of Participation Family Self-Sufficiency Program (FSS)	Form
Form HUD 52650-Chinese Family Self Sufficiency (FSS) Program Contract of Participation Family Self-Sufficiency Program (FSS)	Form
Form HUD 52650-Creole Family Self Sufficiency (FSS) Program Contract of Participation Family Self-Sufficiency Program (FSS)	Form
Form HUD 52650-Spanish Family Self Sufficiency (FSS) Program Contract of Participation Family Self-Sufficiency Program (FSS)	Form
Form HUD 52650-Cambodia Family Self-Sufficiency (FSS) Program Contract of Participation Family Self-Sufficiency Program (FSS)	Form
Form HUD 52650 -Korean Family Self-Sufficiency (FSS) Program Contract of Participation Family Self-Sufficiency Program (FSS)	Form
Form HUD 52650-Vietname Family Self-Sufficiency (FSS) Program Contract of Participation Family Self-Sufficiency Program (FSS)	Form
Form HUD 52650-Russian Family Self-Sufficiency (FSS) Program Contract of Participation Family Self-Sufficiency Program (FSS)	Form
Form HUD 52650-French Family Self-Sufficiency (FSS) Program Contract of Participation Family Self-Sufficiency Program (FSS)	Form
Form HUD 52650- Hmong Family Self-Sufficiency (FSS) Program Contract of Participation Family Self-Sufficiency Program (FSS)	Form
Form HUD 52652-Laotian Family Self-Sufficiency Program FSS Escrow Account Credit Worksheet Family Self-Sufficiency Program (FSS)	Form and Instruction
Form HUD 52652-Arabic Family Self-Sufficiency Program FSS Escrow Account Credit Worksheet Family Self-Sufficiency Program (FSS)	Form and Instruction
Form HUD 52652-Chinese Family Self-Sufficiency Program FSS Escrow Account Credit Worksheet Family Self-Sufficiency Program (FSS)	Form and Instruction
Form HUD 52652-Creole Family Self-Sufficiency Program FSS Escrow Account Credit Worksheet Family Self-Sufficiency Program (FSS)	Form and Instruction
Form HUD 52652-Spanish Family Self-Sufficiency Program FSS Escrow Account Credit Worksheet Family Self-Sufficiency Program (FSS)	Form and Instruction
Form HUD 52652-Cambodia Family Self-Sufficiency Program FSS Escrow Account Credit Worksheet Family Self-Sufficiency Program (FSS)	Form and Instruction
Form HUD 52652-Korean Family Self-Sufficiency Program FSS Escrow Account Credit Worksheet Family Self-Sufficiency Program (FSS)	Form and Instruction
Form HUD 52652-Vietname Family Self-Sufficiency Program FSS Escrow Account Credit Worksheet Family Self-Sufficiency Program (FSS)	Form and Instruction
Form HUD 52652-Russian Family Self-Sufficiency Program FSS Escrow Account Credit Worksheet Family Self-Sufficiency Program (FSS)	Form and Instruction
Form HUD 52652-French Family Self-Sufficiency Program FSS Escrow Account Credit Worksheet Family Self-Sufficiency Program (FSS)	Form and Instruction
Form HUD 52652-Hmong Family Self-Sufficiency Program FSS Escrow Account Credit Worksheet Family Self-Sufficiency Program (FSS)	Form and Instruction
Form 52651 Housing Choice Voucher (HCV) Family Self-Sufficiency (FSS) Program Coordinator Funding Family Self-Sufficiency Program (FSS)	Form and Instruction
96011.doc	Other-Facsimile Transmittal
2994-A.doc	Other-Survey
2991.pdf	Other-Certification
LAO-7-HUD-Form-52650-instructions_FIN.pdf	Instruction
ARA-7_HUD_form_52650_attachment_FIN.pdf	Other-Attachment
ARA-7_HUD_form_52650_instructions_FIN.pdf	Instruction
LAO-7-St-HUD-Form-52650-attachment_FIN.pdf	Other-Attachment
CHI-7_HUD_form_52650_attachment.pdf	Other-Attachment
CHI-7_HUD_form_52650_instructions.pdf	Instruction
CRE 7_HUD_form_52650_attachment_FIN.pdf	Other-Attachment
CRE 7_HUD_form_52650_instructions_FIN.pdf	Instruction
SPA-7_HUD_form_52650_attachment_FIN.pdf	Other-Attachment
SPA-7_HUD_form_52650_instructions_FIN.pdf	Instruction
CAM-7-St-HUD-Form-52650-attachment.pdf	Other-Attachment
CAM-7-St-HUD-Form-52650-instructions.pdf	Instruction
KOR-7-HUD-Form-52650-attachment_FIN.pdf	Other-Attachment
KOR-7-HUD-Form-52650-instructions_FIN.pdf	Instruction
VIE-7-HUD-Form-52650-attachment_FIN.pdf	Other-Attachment
VIE-7-HUD-Form-52650-instructions_FIN.pdf	Instruction
RUS-7_HUD_form_52650_attachment_FIN.pdf	Other-Attachment
RUS-7_HUD_form_52650_instructions_FIN.pdf	Instruction
FRE-7_HUD_form_52650_attachment_FIN.pdf	Other-Attachment
FRE-7_HUD_form_52650_instructions_FIN.pdf	Instruction
HMO-7-HUD-Form-52650-attachment_FIN.pdf	Other-Attachment
HMO-7-HUD-Form-52650-instructions_FIN.pdf	Instruction
HUD-52650 Family Self-Sufficiency program Contract of Participatio 52650.pdf	Form and Instruction
HUD-52652 FSS Escrow Account Credit Worksheet 52652.pdf	Form and Instruction
SF 424 Application for Federal Assistance sf424.doc	Form and Instruction
SF LLL Disclosure of Lobbying Activities sflllin.pdf	Form and Instruction
HUD 2880 Applicant/Recipient Disclosure/Update Report 2880.doc	Form and Instruction
HUD 50058 Family Report 50058.pdf	Form and Instruction
HUD 52650- Arabic Family Self Sufficiency (FSS) Program Contract of Partic ARA-7_HUD_form_52650_FIN.pdf	Form
HUD 52650-Laotian Family Self Sufficiency (FSS) Program Contract of Partic LAO-7-St-HUD-Form-52650_FIN.pdf	Form
HUD 52650-Chinese Family Self Sufficiency (FSS) Program Contract of Partic CHI-7_HUD_form_52650.pdf	Form
HUD 52650-Creole Family Self Sufficiency (FSS) Program Contract of Partic CRE 7_HUD_form_52650_FIN.pdf	Form
HUD 52650-Spanish Family Self Sufficiency (FSS) Program Contract of Partic SPA-7_HUD_form_52650_FIN.pdf	Form
HUD 52650-Cambodia Family Self-Sufficiency (FSS) Program Contract of Partic CAM-7-St-HUD-Form-52650.pdf	Form
HUD 52650 -Korean Family Self-Sufficiency (FSS) Program Contract of Partic KOR-7-HUD-Form-52650_FIN.pdf	Form
HUD 52650-Vietname Family Self-Sufficiency (FSS) Program Contract of Partic VIE-7-HUD-Form-52650_FIN.pdf	Form
HUD 52650-Russian Family Self-Sufficiency (FSS) Program Contract of Partic RUS-7_HUD_form_52650_FIN.pdf	Form
HUD 52650-French Family Self-Sufficiency (FSS) Program Contract of Partic FRE-7_HUD_form_52650_FIN.pdf	Form
HUD 52650- Hmong Family Self-Sufficiency (FSS) Program Contract of Partic HMO-7-HUD-Form-52650_FIN.pdf	Form
HUD 52652-Laotian Family Self-Sufficiency Program FSS Escrow Account Credi LAO-8-St-HUD-Form-52652_FIN.pdf	Form and Instruction
HUD 52652-Arabic Family Self-Sufficiency Program FSS Escrow Account Credi ARA-8_HUD_Form_52652_FIN.pdf	Form and Instruction
HUD 52652-Chinese Family Self-Sufficiency Program FSS Escrow Account Credi CHI-8_HUD_form_52652.pdf	Form and Instruction
HUD 52652-Creole Family Self-Sufficiency Program FSS Escrow Account Credi CRE 8_HUD_form_52652_FIN.pdf	Form and Instruction
HUD 52652-Spanish Family Self-Sufficiency Program FSS Escrow Account Credi SPA-8_HUD_form_52652_FIN.pdf	Form and Instruction
HUD 52652-Cambodia Family Self-Sufficiency Program FSS Escrow Account Credi CAM-8-St-HUD-Form-52652.pdf	Form and Instruction
HUD 52652-Korean Family Self-Sufficiency Program FSS Escrow Account Credi KOR-8-HUD-Form-52652_FIN.pdf	Form and Instruction
HUD 52652-Vietname Family Self-Sufficiency Program FSS Escrow Account Credi VIE-8-HUD-Form-52652_FIN.pdf	Form and Instruction
HUD 52652-Russian Family Self-Sufficiency Program FSS Escrow Account Credi RUS-8_HUD_form_52652_FIN.pdf	Form and Instruction
HUD 52652-French Family Self-Sufficiency Program FSS Escrow Account Credi FRE-8_HUD_form_52652_FIN.pdf	Form and Instruction
HUD 52652-Hmong Family Self-Sufficiency Program FSS Escrow Account Credi HMO-8-HUD-Form-52652_FIN.pdf	Form and Instruction
52651 Housing Choice Voucher (HCV) Family Self-Sufficiency (FS HUD Form 52651.doc	Form and Instruction

Information Collection (IC) Details

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:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	HUD-52650	Yes	Yes	Fillable Printable
Form and Instruction	HUD-52652	Yes	Yes	Fillable Printable
Form and Instruction	SF 424	Yes	Yes	Fillable Fileable
Form and Instruction	SF LLL	Yes	Yes	Fillable Fileable
Other-Facsimile Transmittal		Yes	Yes	Fillable Fileable
Form and Instruction	HUD 2880	Yes	Yes	Fillable Fileable
Other-Survey		Yes	Yes	Fillable Fileable
Other-Certification		Yes	Yes	Fillable Fileable
Form and Instruction	HUD 50058	Yes	Yes	Fillable Fileable
Instruction		Yes	Yes	Fillable Printable
Other-Attachment		Yes	Yes	Fillable Printable
Form	HUD 52650- Arabic	Yes	Yes	Fillable Printable
Instruction		Yes	Yes	Fillable Printable
Form	HUD 52650-Laotian	Yes	Yes	Fillable Printable
Other-Attachment		Yes	Yes	Fillable Printable
Form	HUD 52650-Chinese	Yes	Yes	Fillable Printable
Other-Attachment		Yes	Yes	Fillable Printable
Instruction		Yes	Yes	Fillable Printable
Other-Attachment		Yes	Yes	Fillable Printable
Form	HUD 52650-Creole	Yes	Yes	Fillable Printable
Instruction		Yes	Yes	Fillable Printable
Other-Attachment		Yes	Yes	Fillable Printable
Form	HUD 52650-Spanish	Yes	Yes	Fillable Printable
Instruction		Yes	Yes	Fillable Printable
Form	HUD 52650-Cambodian	Yes	Yes	Fillable Printable
Other-Attachment		Yes	Yes	Fillable Printable
Instruction		Yes	Yes	Fillable Printable
Form	HUD 52650 -Korean	Yes	Yes	Fillable Printable
Other-Attachment		Yes	Yes	Fillable Printable
Instruction		Yes	Yes	Fillable Printable
Form	HUD 52650-Vietnamese	Yes	Yes	Fillable Printable
Other-Attachment		Yes	Yes	Fillable Printable
Instruction		Yes	Yes	Fillable Printable
Other-Attachment		Yes	Yes	Fillable Printable
Form	HUD 52650-Russian	Yes	Yes	Fillable Printable
Instruction		Yes	Yes	Fillable Printable
Other-Attachment		Yes	Yes	Fillable Printable
Form	HUD 52650-French	Yes	Yes	Fillable Printable
Instruction		Yes	Yes	Fillable Printable
Form	HUD 52650- Hmong	Yes	Yes	Fillable Printable
Other-Attachment		Yes	Yes	Fillable Printable
Instruction		Yes	Yes	Fillable Printable
Form and Instruction	HUD 52652-Laotian	Yes	Yes	Fillable Printable
Form and Instruction	HUD 52652-Arabic	Yes	Yes	Fillable Printable
Form and Instruction	HUD 52652-Chinese	Yes	Yes	Fillable Printable
Form and Instruction	HUD 52652-Creole	Yes	Yes	Fillable Printable
Form and Instruction	HUD 52652-Spanish	Yes	Yes	Fillable Printable
Form and Instruction	HUD 52652-Cambodian	Yes	Yes	Fillable Printable
Form and Instruction	HUD 52652-Korean	Yes	Yes	Fillable Printable
Form and Instruction	HUD 52652-Vietnamese	Yes	Yes	Fillable Printable
Form and Instruction	HUD 52652-Russian	Yes	Yes	Fillable Printable
Form and Instruction	HUD 52652-French	Yes	Yes	Fillable Printable
Form and Instruction	HUD 52652-Hmong	Yes	Yes	Fillable Printable
Form and Instruction	52651	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: 750

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	46,505	46,505
Annual IC Time Burden (Hours)	36,202	36,202
Annual IC Cost Burden (Dollars)	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.

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