Family Self-Sufficiency Program (FSS)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form HUD 52650-Cambodia Family Self-Sufficiency Program (FSS)	Form	Modified	Available
83c Change Worksheet HCV FSS.doc	Justification for No Material/Nonsubstantive Change	Uploaded 2012-12-19	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
27844	Family Self-Sufficiency Program (FSS)	Form	Modified

ICR Details

OMB Control No: 2577-0178	ICR Reference No: 201212-2577-002
Status: Historical Inactive	Previous ICR Reference No: 201007-2577-002
Agency/Subagency: HUD/PIH	Agency Tracking No:
Title: Family Self-Sufficiency Program (FSS)
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Improperly submitted and continue	Conclusion Date: 04/12/2013
	Date Received in OIRA: 01/23/2013
Terms of Clearance: The proposed amendment would have made a substantive change to an approved collection without first going through the required notice-and-comment process.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2013	09/30/2013	12/31/2013
Responses	46,505	0	46,505
Time Burden (Hours)	36,202	0	36,202
Cost Burden (Dollars)	0	0	0

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Abstract: Housing agencies enter into a Contract of Participation with each eligible family that opts to participate in the program; consult with local officials to develop an Action Plan; and report annually to HUD on implementation of FSS program. PHAs may apply for funding to pay the salary of a FSS program coordinator.

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Authorizing Statute(s): PL: Pub.L. 101 - 625 23(c) Name of Law: National Affordable Housing Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 19147	04/14/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 39035	07/07/2010
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Family Self-Sufficiency Program (FSS)	HUD 2880, HUD 50058, HUD 52652-Russian, HUD 52650-Chinese, HUD 52652-Vietnamese, HUD 52652-Hmong, HUD-52650, HUD-52652, SF 424, SF LLL, HUD 52650-Creole, HUD 52650-Spanish, HUD 52652-Arabic, HUD 52650-Laotian, HUD 52652-Spanish, HUD 52652-Cambodian, HUD 52652-Creole, HUD 52652-French, HUD 52650 -Korean, HUD 52650-Cambodian, HUD 52650-Vietnamese, HUD 52650-Russian, HUD 52652-Korean, HUD 52650- Hmong, HUD 52652-Laotian, HUD 52652-Chinese, HUD 52650- Arabic, 52651, HUD 52650-French, HUD-52651	Family Self-Sufficiency (FSS) Program Contract of Participation ,   Family Self-Sufficiency (FSS) Program Contract of Participation ,   Family Self Sufficiency (FSS) Program Contract of Participation ,   Family Self Sufficiency (FSS) Program Contract of Participation ,   Family Self Sufficiency (FSS) Program Contract of Participation ,   Family Self Sufficiency (FSS) Program Contract of Participation ,   Family Self Sufficiency (FSS) Program Contract of Participation ,   Family Self-Sufficiency Program FSS Escrow Account Credit Worksheet ,   Family Self-Sufficiency Program FSS Escrow Account Credit Worksheet ,   Family Self-Sufficiency Program FSS Escrow Account Credit Worksheet ,   Family Self-Sufficiency Program FSS Escrow Account Credit Worksheet ,   Housing Choice Voucher (HCV) Family Self-Sufficiency (FSS) Program Coordinator Funding ,   Housing Choice Voucher (HCV) Public Housing (PH) Family Self-Sufficiency (FSS) Program Coordinator Funding ,   Family Self-Sufficiency (FSS) Program Contract of Participation ,   Family Self-Sufficiency (FSS) Program Contract of Participation ,   Application for Federal Assistance ,   Disclosure of Lobbying Activities ,   Applicant/Recipient Disclosure/Update Report ,   Family Self-Sufficiency program Contract of Participation ,   FSS Escrow Account Credit Worksheet ,   Family Report ,   Family Self-Sufficiency (FSS) Program Contract of Participation ,   Family Self-Sufficiency (FSS) Program Contract of Participation ,   Family Self-Sufficiency Program FSS Escrow Account Credit Worksheet ,   Family Self-Sufficiency Program FSS Escrow Account Credit Worksheet ,   Family Self-Sufficiency Program FSS Escrow Account Credit Worksheet ,   Family Self-Sufficiency Program FSS Escrow Account Credit Worksheet ,   Family Self-Sufficiency Program FSS Escrow Account Credit Worksheet ,   Family Self-Sufficiency Program FSS Escrow Account Credit Worksheet ,   Family Self-Sufficiency Program FSS Escrow Account Credit Worksheet

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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: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $12,606

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

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Common Form ICR:  No

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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: 01/23/2013

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