Information Collection Request

ROSS-SC Evaluation

ICR 201707-2528-001 · OMB 2528-0316 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
3-29-18_ROSS SC_ Appendix F.docx Supplementary Document Uploaded 2018-04-02 Repair queued
3-29-18 - ROSS SC_ Appendix E.docx Supplementary Document Uploaded 2018-04-02 Available
ROSS-SC Evaluation 30 Day Notice.pdf Supplementary Document Uploaded 2017-10-25 Repair queued
PTA-ROSS Program Evaluation_signed.pdf Supplementary Document Uploaded 2017-10-18 Available
OMB Form 83 i ROSS-SC Eval (7.19.17).pdf Supplementary Document Uploaded 2017-10-18 Available
3-29-18_ROSS SC_ Part B.docx Supporting Statement B Uploaded 2018-04-02 Available
3-29-18_ROSS SC_ Part A.docx Supporting Statement A Uploaded 2018-04-02 Available
Federal Register 60-Day Notice_ROSS-SC_5.16.17_22559 (1).pdf Supplementary Document Uploaded 2017-07-26 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
228690 HUD Residents in 5-person household Other-HUD Residents in 5-person household New
228689 HUD Residents in 4-person household Other-HUD Residents in 4-person household New
228688 HUD Residents in 3-person household Other-HUD Residents in 3-person household New
228687 HUD Residents in 2-person household Other-HUD Residents in 2-person household New
228685 HUD Residents living alone Other-HUD Residents living alone New
228684 ROSS Site Visit-Staff and Partners Other-ROSS Site Visit-Staff and Partners New
228683 Service Coordinators Survey Other-Service Coordinators Survey New
228682 Grantee Contact Person Survey Other-Grantee Contact Person Survey New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
04/30/2021 36 Months From Approved
1,331 0 0
825 0 0
0 0 0





table that charts list 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 1,331 0 0 1,331 0 0
Annual Time Burden (Hours) 825 0 0 825 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No