Information Collection

Family Self-Sufficiency Program (FSS)

IC 27844 under ICR 202009-2577-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
Form HUD-1044 Family Self-Sufficiency Program (FSS) Form and Instruction
HUD-52650 Family Self-Sufficiency (FSS) Program Contract of Partic HUD 52650.docx Form and Instruction
HUD-52650 Family Self-Sufficiency (FSS) Program Contract of Partic HUD 52650.docx Form and Instruction
HUD-52652 Family Self-Sufficiency Program FSS Escrow Account Credi HUD 52652.docx Form and Instruction
HUD-52652 Family Self-Sufficiency Program FSS Escrow Account Credi HUD 52652.docx Form and Instruction
HUD-2880 Applicant/Recipient Disclosure/Update Report HUD-2880.pdf Form and Instruction
HUD-2880 Applicant/Recipient Disclosure/Update Report HUD-2880.pdf Form and Instruction
HUD-52755 SAMPLE CONTRACT - Administrative Partnership Agreement HUD-52755.pdf Form and Instruction
HUD-52755 SAMPLE CONTRACT - Administrative Partnership Agreement HUD-52755.pdf Form and Instruction
HUD-1044 Assistance Award/Amendment 1044.PDF Form and Instruction
HUD-1044 Assistance Award/Amendment 1044.PDF Form and Instruction
HUD-50058 Family Report HUD-50058.PDF Form and Instruction
HUD-50058 Family Report HUD-50058.PDF Form and Instruction
HUD-52651 Family Self-Sufficiency (FSS) Program Coordinator Fundin HUD-52651.pdf Form and Instruction
HUD-52651 Family Self-Sufficiency (FSS) Program Coordinator Fundin HUD-52651.pdf 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:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	HUD-52650	Family Self-Sufficiency (FSS) Program Contract of Participation - Housing Choice Voucher Public and Indian Housing Programs	HUD 52650.docx	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD-52652	Family Self-Sufficiency Program FSS Escrow Account Credit Worksheet	HUD 52652.docx	Yes	Yes	Fillable Printable
Form and Instruction	HUD-2880	Applicant/Recipient Disclosure/Update Report	HUD-2880.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD-52755	SAMPLE CONTRACT - Administrative Partnership Agreement	HUD-52755.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD-1044	Assistance Award/Amendment	1044.PDF	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD-50058	Family Report	HUD-50058.PDF	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD-52651	Family Self-Sufficiency (FSS) Program Coordinator Funding	HUD-52651.pdf	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: 740	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	740	-60	800
Annual IC Time Burden (Hours)	67,250	30,507	36,743
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.