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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
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

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 (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 %

table that charts list of burden
	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

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.