Information Collection

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

IC 42121 under ICR 201803-2577-003 · OMB 2577-0229.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2577-0229 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form HUD-52768 Application for the Resident Opportunities and Self Sufficiency (ROSS) Program	Form and Instruction
HUD-52768 Resident Opportunity & Self-Sufficiency (ROSS) Service C HUD 52768 ROSS-SC Funding form Orginal Version.doc	Form and Instruction
HUD-52768 Resident Opportunity & Self-Sufficiency (ROSS) Service C HUD 52768 ROSS-SC Funding from Updated Version 1.0.doc	Form and Instruction

IC Title:

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

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 538

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	HUD-52768	Resident Opportunity & Self-Sufficiency (ROSS) Service Coordinator Funding	HUD 52768 ROSS-SC Funding form Orginal Version.doc		Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD-52768	Resident Opportunity & Self-Sufficiency (ROSS) Service Coordinator Funding	HUD 52768 ROSS-SC Funding from Updated Version 1.0.doc		Yes	Yes	Fillable Fileable Signable

Line of Business: Community and Social Services

Subfunction: Homeownership Promotion

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 350

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	350	350
Annual IC Time Burden (Hours)	1,907	1,907
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.