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

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 52768 Resident Opportunity & Self-Sufficiency (ROSS) Service Coordinator Funding	Form	Modified	Available
Form 52768 Application for the Resident Opportunities and Self Sufficiency (ROSS) Program	Form	Modified	Repair queued
HUD 52768 Redline3-18-25.pdf	Justification for No Material/Nonsubstantive Change	Uploaded 2025-03-24	Repair queued
HUD 52768 Redline3-18-25.pdf	Justification for No Material/Nonsubstantive Change	Uploaded 2025-03-24	Repair queued
2577-0229 Nonsubstantive Change 83c_ROSSHUD52768Form.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2025-03-21	Available
2577-0229 Nonsubstantive Change 83c_ROSSHUD52768Form.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2025-03-21	Repair queued
2502-0229 30 day.pdf	Supplementary Document	Uploaded 2023-06-15	Available
2502-0229 30 day.pdf	Supplementary Document	Uploaded 2023-06-15	Repair queued
2577-0229 Supporting Statement for Paperwork Reduction Act Submissions 6-6-23.docx	Supporting Statement A	Uploaded 2023-06-06	Available
2577-0229 Supporting Statement for Paperwork Reduction Act Submissions 6-6-23.docx	Supporting Statement A	Uploaded 2023-06-06	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
260564	Application for the Resident Opportunities and Self Sufficiency (ROSS) Program	Form	Modified	Resident Opportunity & Self-Sufficiency (ROSS) Service Coordinator Funding
260564	Application for the Resident Opportunities and Self Sufficiency (ROSS) Program	Form	Modified

ICR Details

OMB Control No: 2577-0229	ICR Reference No: 202503-2577-004
Status: Active	Previous ICR Reference No: 202306-2577-001
Agency/Subagency: HUD/PIH	Agency Tracking No: 2577-0229
Title: Application for the Resident Opportunities and Self Sufficiency (ROSS) Program
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/15/2025
Retrieve Notice of Action (NOA)	Date Received in OIRA: 04/01/2025
Terms of Clearance: Approved consistent with Executive Order 14151: Ending Radical and Wasteful Government DEI Program and Preferencing.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2026	08/31/2026	08/31/2026
Responses	350	0	350
Time Burden (Hours)	1,181	0	1,181
Cost Burden (Dollars)	0	0	0

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Abstract: Application for the ROSS Service Coordinator grant program for Public Housing; Eligible applicants are PHAs, Tribes/TDHEs, Non-Profits and Resident Associations. Information collected will be used to evaluate applications and award grants.

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Authorizing Statute(s): PL: Pub.L. 105 - 276 112 Stat. 2461 Name of Law: Public Housing Reform 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:
	88 FR 21204	04/10/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 38523	06/13/2023
Did the Agency receive public comments on this ICR? No

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

table that charts list of burden

IC Title	Form No.	Form Name
Application for the Resident Opportunities and Self Sufficiency (ROSS) Program	52768	Resident Opportunity & Self-Sufficiency (ROSS) Service Coordinator Funding

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ICR Summary of Burden

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	350	350	0	0	0	0
Annual Time Burden (Hours)	1,181	1,181	0	0	0	0
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:

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     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? No

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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: 04/01/2025

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