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Application for the Resident Opportunities and Self Sufficiency (ROSS) Program
Application for the Resident Opportunities and Self Sufficiency (ROSS) Program
OMB: 2577-0229
IC ID: 42121
OMB.report
HUD/PIH
OMB 2577-0229
ICR 200609-2577-001
IC 42121
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2577-0229 can be found here:
2025-04-01 - No material or nonsubstantive change to a currently approved collection
2023-06-15 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form 52761
Application for the Resident Opportunities and Self Sufficiency (ROSS) Program
Form and Instruction
52755 Sample Contract Administrator Partnership Agreement
Sample Contract Administrator Partnership Agreement.pdf
Form and Instruction
HUD-52751 Ross Fund Fact Sheet
52751.pdf
Form
52767 PHA FSS Request Form
52767.pdf
Form and Instruction
52753 ROSS ResCouncBoardElec
52753 ROSS ResCouncBoardElec.rtf
Form and Instruction
52757 ROSS ChartBAppAdminTrackRec
52757 ROSS ChartB-AppAdminTrackRec.rtf
Form and Instruction
52759 Applicant Checklist RSDM Family
52759 Applicant Checklist.RSDM Family.doc
Form and Instruction
52761 Applicant Checklist.HSS
52761 Applicant Checklist.HSS.doc
Form and Instruction
52763 ROSS Sample Work Plan RSDM Family
52763 ROSS Sample Work Plan.RSDM Family.doc
Form and Instruction
52765 ROSS Sample Work Plan HSS
52765 ROSS Sample Work Plan.HSS.doc
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Application for the Resident Opportunities and Self Sufficiency (ROSS) Program
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
52761
Applicant Checklist.HSS
52761 Applicant Checklist.HSS.doc
No
Fillable Printable
Form
HUD-52751
Ross Fund Fact Sheet
52751.pdf
No
Fillable Printable
Form and Instruction
52757
ROSS ChartBAppAdminTrackRec
52757 ROSS ChartB-AppAdminTrackRec.rtf
No
Fillable Printable
Form and Instruction
52753
ROSS ResCouncBoardElec
52753 ROSS ResCouncBoardElec.rtf
No
Fillable Printable
Form and Instruction
52755
Sample Contract Administrator Partnership Agreement
Sample Contract Administrator Partnership Agreement.pdf
No
Fillable Printable
Form and Instruction
52763
ROSS Sample Work Plan RSDM Family
52763 ROSS Sample Work Plan.RSDM Family.doc
No
Fillable Printable
Form and Instruction
52765
ROSS Sample Work Plan HSS
52765 ROSS Sample Work Plan.HSS.doc
No
Fillable Printable
Form and Instruction
52759
Applicant Checklist RSDM Family
52759 Applicant Checklist.RSDM Family.doc
No
Fillable Printable
Form and Instruction
52767
PHA FSS Request Form
52767.pdf
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
850
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
850
0
0
0
0
850
Annual IC Time Burden (Hours)
41,643
0
0
0
0
41,643
Annual IC Cost Burden (Dollars)
0
0
0
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.