OMB control number

Family Self-Sufficiency Program (FSS)

OMB 2577-0178 · HUD/PIH.

OMB 2577-0178

Housing agencies enter into a Contract of Participation with each eligible family that opts to participate in the program; consult with local officials to develop an Action Plan; and report annually to HUD on implementation of the FSS program. PHAs may apply for funding to pay the salary (including fringe benefits) of FSS program coordinators.

The latest form for Family Self-Sufficiency Program (FSS) expires 2029-01-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 50058 Family Repor MTW Family Report Form and Instruction
Form 50058 MTW Expansio MTW Expaansion Family Report PH-HCV Form and Instruction
Form 50058 Family Repor Family Report HCV-Sec Moderate Rehabiliation Program Form and Instruction
Form 52651-C FSS Annual Survey Form and Instruction
Form 52651-B FSS Monitoring Review Tool Form and Instruction
Form SFLLL Disclosure of Lobbying Activities Form and Instruction
Form SF-425 Federal Financial Report Form and Instruction
Form SF-424 Application for Federal Assistance Form and Instruction
Form 424B Applicant and Recipient Assurances and Certifications Form and Instruction
Form HUD-52651 Family Self-Sufficiency (FSS) Program Coordinator Funding Form and Instruction
Form HUD-2880 Applicant/Recipient Disclosure/Update Report Form and Instruction
Form HUD-52650 Family Self-Sufficiency (FSS) Program Contract of Participation - Housing Choice Voucher Public and Indian Housing Programs Form and Instruction
Form HUD-52650 Family Self-Sufficiency Program (FSS) Form and Instruction
Comments from Anonymous Three June 16 2025.pdf (document unavailable) Public Comments
Comments from Anonymous Two June 16 2025.pdf (document unavailable) Public Comments
Comments from Anonymous One August 12 2025.pdf Public Comments
Comments from Donald Faulkner - June 16 2025.pdf Public Comments
Final-OMB 2577-0178 FSS Supp Stmt.docx Supporting Statement A
Final-OMB 2577-0178 FSS Supp Stmt.docx Supporting Statement A
2577-0178 published 30-day FSS.pdf Supplementary Document
2577-0178 published 60-day FSS.pdf Supplementary Document
Family Self-Sufficiency Program (FSS) Form and Instruction
Family Self-Sufficiency Program (FSS) Form and Instruction
Family Self-Sufficiency Program (FSS) Form and Instruction
Family Self-Sufficiency Program (FSS) Form and Instruction
Family Self-Sufficiency Program (FSS) Form and Instruction
Family Self-Sufficiency Program (FSS) Form and Instruction
Family Self-Sufficiency Program (FSS) Form and Instruction
Family Self-Sufficiency Program (FSS) Form and Instruction
Family Self-Sufficiency Program (FSS) Form and Instruction
Family Self-Sufficiency Program (FSS) Form and Instruction
Family Self-Sufficiency Program (FSS) Form and Instruction
Family Self-Sufficiency Program (FSS) Form and Instruction
Family Self-Sufficiency Program (FSS) Form and Instruction
Family Self-Sufficiency Program (FSS) Instruction

All Historical Document Collections

202508-2577-002	Reinstatement with change of a previously approved collection	2025-09-03
202203-2577-005 Preapproved	Revision of a currently approved collection	2022-04-04
202009-2577-001	Reinstatement with change of a previously approved collection	2020-12-09
201609-2577-003 Approved without change	Reinstatement with change of a previously approved collection	2017-07-11
201511-2577-004 Approved without change	No material or nonsubstantive change to a currently approved collection	2015-12-08
201306-2577-002 Approved with change	Revision of a currently approved collection	2013-09-25
201212-2577-002 Improperly submitted and continue	No material or nonsubstantive change to a currently approved collection	2013-01-23
201007-2577-002 Approved without change	Extension without change of a currently approved collection	2010-07-08
201007-2577-001 Withdrawn and continue	Revision of a currently approved collection	2010-07-08
201005-2577-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2010-05-26
200803-2577-004 Approved without change	No material or nonsubstantive change to a currently approved collection	2008-03-14
200704-2577-001 Approved without change	Extension without change of a currently approved collection	2007-04-17
200610-2577-002 Approved without change	No material or nonsubstantive change to a currently approved collection	2006-10-25
200403-2577-001 Approved without change	Revision of a currently approved collection	2004-03-16
200306-2577-001 Approved without change	Extension without change of a currently approved collection	2003-06-02
200003-2577-001 Approved without change	Reinstatement with change of a previously approved collection	2000-03-17
199606-2577-001 Approved without change	Reinstatement without change of a previously approved collection	1996-06-07
199304-2577-003 Approved without change	New collection (Request for a new OMB Control Number)	1993-04-22