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 HUD Form 52768 ROSS Coordinator Funding	Form and Instruction	Modified	Available
Form HUD Form 52755 Sample Contract Administrator Partnership Agreement for the ROSS-Service Coordinator Grant Program	Form and Instruction	Modified	Available
Form HUD Form 52753 Certification of Election of Resident Council Board	Form and Instruction	Modified	Available
Form HUD-2880 Applicant/Recipient Disclosure/Update Report	Form and Instruction	Modified	Available
Final SS for the record OMB 2577-0229.docx	Supporting Statement A	Uploaded 2026-09-01	Available
Julie Piccolo 30-Day Request and Response from OPHI.msg	Public Comments	Uploaded 2026-08-31	Available
30-Day FRN.pdf	Supplementary Document	Uploaded 2026-09-01	Available
published 60-day FRN 2577-0229.pdf	Supplementary Document	Uploaded 2026-07-22	Available

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 and Instruction	Modified	ROSS Coordinator Funding
260564	Application for the Resident Opportunities and Self Sufficiency (ROSS) Program	Form and Instruction	Modified	Sample Contract Administrator Partnership Agreement for the ROSS-Service Coordinator Grant Program
260564	Application for the Resident Opportunities and Self Sufficiency (ROSS) Program	Form and Instruction	Modified	Certification of Election of Resident Council Board
260564	Application for the Resident Opportunities and Self Sufficiency (ROSS) Program	Form and Instruction	Modified	Applicant/Recipient Disclosure/Update Report

ICR Details

OMB Control No: 2577-0229	ICR Reference No: 202607-2577-001
Status: Received in OIRA	Previous ICR Reference No: 202503-2577-004
Agency/Subagency: HUD/PIH	Agency Tracking No: 2577-0229
Title: Application for the Resident Opportunities and Self Sufficiency (ROSS) Program
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 09/01/2026

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved	09/30/2026
Responses	525	350
Time Burden (Hours)	1,163	1,181
Cost Burden (Dollars)	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:
	91 FR 25590	05/11/2026
30-day Notice:	Federal Register Citation:	Citation Date:
	91 FR 56203	09/01/2026
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	HUD-2880, HUD Form 52753, HUD Form 52755, HUD Form 52768	Applicant/Recipient Disclosure/Update Report ,   Certification of Election of Resident Council Board ,   Sample Contract Administrator Partnership Agreement for the ROSS-Service Coordinator Grant Program ,   ROSS Coordinator Funding

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ICR Summary of Burden

table that charts list of burden

	Total Request	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	525	350	0	175	0	0
Annual Time Burden (Hours)	1,163	1,181	0	-18	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: This is a reinstatement with change of currently approved collection. There have been no additions to the collection, but we have removed Form HUD-52752, Certification of Consistency with the Indian Housing Plan, thus reducing the burden hours of this collection. In addition, Form HUD-52766 Sample Business Plan for Applicants of the ROSS Neighborhood Networks Funding Category, has been removed as it is no longer relevant to the ROSS program. This also reduces the burden hours of this collection.

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Annual Cost to Federal Government: $10,904

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: 09/01/2026

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