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

Forms and Documents

Document Name	Status
Form HUD 52755 Application for the Resident Opportunities and Self Sufficiency (ROSS) Program Form and Instruction	Modified
83i_2577-0229.doc Supporting Statement A	2012-01-17

IC Document Collections

IC ID	Document Title	Status
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: 201201-2577-001
Status: Historical Active	Previous ICR Reference No: 201101-2577-001
Agency/Subagency: HUD/PIH	Agency Tracking No: PRA-2011-25
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 without change	Conclusion Date: 04/10/2012
	Date Received in OIRA: 02/27/2012
Terms of Clearance: Previous terms of clearance remain in effect. HUD is approved all forms submitted with the application only. No grant reporting requirements are approved under this control number. The HUD-1044 is not included in this approval.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2015	36 Months From Approved	08/31/2014
Responses	700	0	650
Time Burden (Hours)	2,425	0	3,201
Cost Burden (Dollars)	0	0	0

---

Abstract: Application for the ROSS grant program: Service Coordinators Program and Family Self-Sufficiency for Public Housing. Eligible applicants are PHAs, Tribes/TDHEs, Non-Profits and Resident Associations. Information collected will be used to evaluate applications and award grants through the HUD SuperNOFA process.

---

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:
	76 FR 78293	12/16/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 10763	02/23/2012
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	HUD-2993, HUD 52651, HuD 2990, HUD 96010, SF LLL, HUD-52769, HUD-52768, HUD-2994-A, HUD-2991, HUD 52753, HUD 52755, SF424, SF424 Suppplement, HUD 52752, HUD 52754, HUD 2880	Sample Contract Administrator Partnership Agreement ,   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 ,   Acknowledgment of Application Receipt ,   Certification of Consistency with the Consolidated Plan ,   Grant Applicant Survey ,   Housing Choice Voucher (HCV) Family Self-Sufficiency (FSS) Program Coordinator Funding

---

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	700	650	0	0	50	0
Annual Time Burden (Hours)	2,425	3,201	0	-1,552	776	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: 15. This collection package is revision of a previously approved collection. This revision is necessary as a result of OMB's request to more closely align the Public Housing Family Self-Sufficiency Program (FSS) with the Housing Choice Voucher (HCV) FSS program. For this reason, we are now replacing the old ROSS FSS Form (HUD-52767) with the HCV FSS form (HUD-52651) to use as part of the application package. The burden hours have changed from a total of 3,201 hours to a total of 2425. The burden hours were estimated by HUD staff that 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]? 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? 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: 02/27/2012

---