Family Self-Sufficiency Program (FSS)

Forms and Documents

Document Name	Status
Form HUD-52650 Family Self-Sufficiency Program (FSS) Form and Instruction	Modified
Published 60-day FR Notice.pdf Supplementary Document	2017-04-18
Initial Privacy Assessment.docx Supplementary Document	2017-04-18
83i_ 04-18-17.doc Supporting Statement A	2017-04-18

IC Document Collections

IC ID	Document Title	Status
27844	Family Self-Sufficiency Program (FSS) Form and Instruction	Modified

ICR Details

OMB Control No: 2577-0178	ICR Reference No: 201609-2577-003
Status: Historical Active	Previous ICR Reference No: 201511-2577-004
Agency/Subagency: HUD/PIH	Agency Tracking No: 2577-0178
Title: Family Self-Sufficiency Program (FSS)
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/09/2017
	Date Received in OIRA: 07/11/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2020	36 Months From Approved
Responses	800	0	0
Time Burden (Hours)	36,743	0	0
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 the FSS program. PHAs may apply for funding to pay the salary (including fringe benefits) of FSS program coordinators.

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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:
	81 FR 73131	10/24/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 27854	06/19/2017
Did the Agency receive public comments on this ICR? Yes

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

IC Title	Form No.	Form Name
Family Self-Sufficiency Program (FSS)	HUD-52650, HUD-52651 (Revised Version), HUD-52652, HUD-2880, HUD-2991, HUD-2994-A, HUD-50058, HUD-52752, HUD-52755, HUD-96011, HUD-52651 (Previous Version)	Family Self-Sufficiency (FSS) Program Contract of Participation - Housing Choice Voucher Public and Indian Housing Programs ,   Family Self-Sufficiency (FSS) Program Coordinator Funding ,   Family Self-Sufficiency (FSS) Program Coordinator Funding ,   Family Self-Sufficiency Program FSS Escrow Account Credit Worksheet ,   You are our Client! Grant Applicant Survey ,   Family Report ,   Certification of Consistency with the Indian Housing Plan ,   SAMPLE CONTRACT - Administrative Partnership Agreement ,   Third Party Documentation Facsimile Transmittal ,   Applicant/Recipient Disclosure/Update Report ,   Certification of Consistency with the Consolidated Plan

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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	800	0	0	0	-99,605	100,405
Annual Time Burden (Hours)	36,743	0	0	0	-150	36,893
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: No

Burden Reduction Due to:

Short Statement: The Department is seeking to establish a collection that encompasses data from public housing agencies that administer the HUD’s FSS program, and its participants. Additionally, changes were made to the content of form HUD-52651, and consequently, the burden hours were increased from 1 hour to 1.5 hours per response. The form HUD 52651 (Part IV) now includes a section for salary comparability information, and provides an example (page 8); there are no additional changes to the form. In FY2014, FSS funding for PH FSS and HCV FSS programs were combined. There is no longer a need for two separate NOFAs, thereby reducing the number of applicants and grantees (from 1,000 to 800), which also reduced the number of responses for HUD 2880s, 2991s and Annual Reports.

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Annual Cost to Federal Government: $132,182

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: 07/11/2017

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