Information Collection

Family Self-Sufficiency Program (FSS)

IC 27844 under ICR 201511-2577-004 · 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⚠️ Notice: This information collection may be referencing outdated material.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 (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
HUD-52651 Family Self-Sufficiency (FSS) Program Coordinator Fundin HUD 52651-redlined version.doc	Form and Instruction
HUD-52651 Family Self-Sufficiency (FSS) Program Coordinator Fundin HUD - 52651 - Revised -clean version.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.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	HUD-52650	Family Self-Sufficiency program Contract of Participation	52650.pdf	Yes	Yes	Fillable Printable
Form and Instruction	HUD-52652	FSS Escrow Account Credit Worksheet	52652.pdf	Yes	Yes	Fillable Printable
Form and Instruction	SF 424	Application for Federal Assistance	sf424.doc	Yes	Yes	Fillable Fileable
Form and Instruction	SF LLL	Disclosure of Lobbying Activities	sflllin.pdf	Yes	Yes	Fillable Fileable
Other-Facsimile Transmittal			96011.doc	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 2880	Applicant/Recipient Disclosure/Update Report	2880.doc	Yes	Yes	Fillable Fileable
Other-Survey			2994-A.doc	Yes	Yes	Fillable Fileable
Other-Certification			2991.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 50058	Family Report	50058.pdf	Yes	Yes	Fillable Fileable
Instruction			LAO-7-HUD-Form-52650-instructions_FIN.pdf	Yes	Yes	Fillable Printable
Other-Attachment			ARA-7_HUD_form_52650_attachment_FIN.pdf	Yes	Yes	Fillable Printable
Form	HUD 52650- Arabic	Family Self Sufficiency (FSS) Program Contract of Participation	ARA-7_HUD_form_52650_FIN.pdf	Yes	Yes	Fillable Printable
Instruction			ARA-7_HUD_form_52650_instructions_FIN.pdf	Yes	Yes	Fillable Printable
Form	HUD 52650-Laotian	Family Self Sufficiency (FSS) Program Contract of Participation	LAO-7-St-HUD-Form-52650_FIN.pdf	Yes	Yes	Fillable Printable
Other-Attachment			LAO-7-St-HUD-Form-52650-attachment_FIN.pdf	Yes	Yes	Fillable Printable
Form	HUD 52650-Chinese	Family Self Sufficiency (FSS) Program Contract of Participation	CHI-7_HUD_form_52650.pdf	Yes	Yes	Fillable Printable
Other-Attachment			CHI-7_HUD_form_52650_attachment.pdf	Yes	Yes	Fillable Printable
Instruction			CHI-7_HUD_form_52650_instructions.pdf	Yes	Yes	Fillable Printable
Other-Attachment			CRE 7_HUD_form_52650_attachment_FIN.pdf	Yes	Yes	Fillable Printable
Form	HUD 52650-Creole	Family Self Sufficiency (FSS) Program Contract of Participation	CRE 7_HUD_form_52650_FIN.pdf	Yes	Yes	Fillable Printable
Instruction			CRE 7_HUD_form_52650_instructions_FIN.pdf	Yes	Yes	Fillable Printable
Other-Attachment			SPA-7_HUD_form_52650_attachment_FIN.pdf	Yes	Yes	Fillable Printable
Form	HUD 52650-Spanish	Family Self Sufficiency (FSS) Program Contract of Participation	SPA-7_HUD_form_52650_FIN.pdf	Yes	Yes	Fillable Printable
Instruction			SPA-7_HUD_form_52650_instructions_FIN.pdf	Yes	Yes	Fillable Printable
Form	HUD 52650-Cambodian	Family Self-Sufficiency (FSS) Program Contract of Participation	CAM-7-St-HUD-Form-52650.pdf	Yes	Yes	Fillable Printable
Other-Attachment			CAM-7-St-HUD-Form-52650-attachment.pdf	Yes	Yes	Fillable Printable
Instruction			CAM-7-St-HUD-Form-52650-instructions.pdf	Yes	Yes	Fillable Printable
Form	HUD 52650 -Korean	Family Self-Sufficiency (FSS) Program Contract of Participation	KOR-7-HUD-Form-52650_FIN.pdf	Yes	Yes	Fillable Printable
Other-Attachment			KOR-7-HUD-Form-52650-attachment_FIN.pdf	Yes	Yes	Fillable Printable
Instruction			KOR-7-HUD-Form-52650-instructions_FIN.pdf	Yes	Yes	Fillable Printable
Form	HUD 52650-Vietnamese	Family Self-Sufficiency (FSS) Program Contract of Participation	VIE-7-HUD-Form-52650_FIN.pdf	Yes	Yes	Fillable Printable
Other-Attachment			VIE-7-HUD-Form-52650-attachment_FIN.pdf	Yes	Yes	Fillable Printable
Instruction			VIE-7-HUD-Form-52650-instructions_FIN.pdf	Yes	Yes	Fillable Printable
Other-Attachment			RUS-7_HUD_form_52650_attachment_FIN.pdf	Yes	Yes	Fillable Printable
Form	HUD 52650-Russian	Family Self-Sufficiency (FSS) Program Contract of Participation	RUS-7_HUD_form_52650_FIN.pdf	Yes	Yes	Fillable Printable
Instruction			RUS-7_HUD_form_52650_instructions_FIN.pdf	Yes	Yes	Fillable Printable
Other-Attachment			FRE-7_HUD_form_52650_attachment_FIN.pdf	Yes	Yes	Fillable Printable
Form	HUD 52650-French	Family Self-Sufficiency (FSS) Program Contract of Participation	FRE-7_HUD_form_52650_FIN.pdf	Yes	Yes	Fillable Printable
Instruction			FRE-7_HUD_form_52650_instructions_FIN.pdf	Yes	Yes	Fillable Printable
Form	HUD 52650- Hmong	Family Self-Sufficiency (FSS) Program Contract of Participation	HMO-7-HUD-Form-52650_FIN.pdf	Yes	Yes	Fillable Printable
Other-Attachment			HMO-7-HUD-Form-52650-attachment_FIN.pdf	Yes	Yes	Fillable Printable
Instruction			HMO-7-HUD-Form-52650-instructions_FIN.pdf	Yes	Yes	Fillable Printable
Form and Instruction	HUD 52652-Laotian	Family Self-Sufficiency Program FSS Escrow Account Credit Worksheet	LAO-8-St-HUD-Form-52652_FIN.pdf	Yes	Yes	Fillable Printable
Form and Instruction	HUD 52652-Arabic	Family Self-Sufficiency Program FSS Escrow Account Credit Worksheet	ARA-8_HUD_Form_52652_FIN.pdf	Yes	Yes	Fillable Printable
Form and Instruction	HUD 52652-Chinese	Family Self-Sufficiency Program FSS Escrow Account Credit Worksheet	CHI-8_HUD_form_52652.pdf	Yes	Yes	Fillable Printable
Form and Instruction	HUD 52652-Creole	Family Self-Sufficiency Program FSS Escrow Account Credit Worksheet	CRE 8_HUD_form_52652_FIN.pdf	Yes	Yes	Fillable Printable
Form and Instruction	HUD 52652-Spanish	Family Self-Sufficiency Program FSS Escrow Account Credit Worksheet	SPA-8_HUD_form_52652_FIN.pdf	Yes	Yes	Fillable Printable
Form and Instruction	HUD 52652-Cambodian	Family Self-Sufficiency Program FSS Escrow Account Credit Worksheet	CAM-8-St-HUD-Form-52652.pdf	Yes	Yes	Fillable Printable
Form and Instruction	HUD 52652-Korean	Family Self-Sufficiency Program FSS Escrow Account Credit Worksheet	KOR-8-HUD-Form-52652_FIN.pdf	Yes	Yes	Fillable Printable
Form and Instruction	HUD 52652-Vietnamese	Family Self-Sufficiency Program FSS Escrow Account Credit Worksheet	VIE-8-HUD-Form-52652_FIN.pdf	Yes	Yes	Fillable Printable
Form and Instruction	HUD 52652-Russian	Family Self-Sufficiency Program FSS Escrow Account Credit Worksheet	RUS-8_HUD_form_52652_FIN.pdf	Yes	Yes	Fillable Printable
Form and Instruction	HUD 52652-French	Family Self-Sufficiency Program FSS Escrow Account Credit Worksheet	FRE-8_HUD_form_52652_FIN.pdf	Yes	Yes	Fillable Printable
Form and Instruction	HUD 52652-Hmong	Family Self-Sufficiency Program FSS Escrow Account Credit Worksheet	HMO-8-HUD-Form-52652_FIN.pdf	Yes	Yes	Fillable Printable
Form and Instruction	HUD-52651	Family Self-Sufficiency (FSS) Program Coordinator Funding	HUD 52651-redlined version.doc	Yes	Yes	Fillable Printable
Form and Instruction	HUD-52651	Family Self-Sufficiency (FSS) Program Coordinator Funding	HUD - 52651 - Revised -clean version.doc	Yes	Yes	Fillable Printable

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: 1,000

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 99 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	100,405	100,405
Annual IC Time Burden (Hours)	36,893	36,893
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.