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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 201508-2577-001
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⚠️ Notice: This information collection may be referencing outdated material.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 HUD-52752
Application for the Resident Opportunities and Self Sufficiency (ROSS) Program
Form and Instruction
HUD-52752 Certification of Consistency with the Indian Housing Pla
HUD 52752.pdf
Form and Instruction
HUD-52753 ROSS Funding - Certification of Election of Resident Cou
HUD 52753.pdf
Form and Instruction
HUD-52754 List of Resident Organizations Supporting Nonprofit Appl
HUD 52754.pdf
Form and Instruction
HUD-52755 Sample Contract - Administrative Partnership Agreement
HUD 52755.pdf
Form and Instruction
HUD-52768 - Revise ROSS Service Coordinators - Funding Request
Form HUD-52768 revised for RAs and nonprofits.doc
Form and Instruction
HUD-52769 - Revise ROSS Service Coordinators - NEEDS and SERVICE PARTNERS
Form HUD-52769 - Needs Providers Form.doc
Form and Instruction
HUD-52768 - Origin ROSS Service Coordinators - Funding Request
HUD-52768 - Original Version.pdf
Form and Instruction
HUD-52769 - Origin ROSS Service Coordinators - NEEDS and SERVICE PARTNERS
HUD-52769 - Original Version.pdf
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:
24 CFR 538
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
HUD-52752
Certification of Consistency with the Indian Housing Plan
HUD 52752.pdf
Yes
Yes
Fillable Fileable Signable
Form and Instruction
HUD-52753
ROSS Funding - Certification of Election of Resident Council Board
HUD 52753.pdf
Yes
Yes
Fillable Fileable Signable
Form and Instruction
HUD-52754
List of Resident Organizations Supporting Nonprofit Applicants
HUD 52754.pdf
Yes
Yes
Fillable Printable
Form and Instruction
HUD-52755
Sample Contract - Administrative Partnership Agreement
HUD 52755.pdf
Yes
Yes
Fillable Fileable Signable
Form and Instruction
HUD-52768 - Revised Version
ROSS Service Coordinators - Funding Request
Form HUD-52768 revised for RAs and nonprofits.doc
Yes
Yes
Fillable Printable
Form and Instruction
HUD-52769 - Revised Version
ROSS Service Coordinators - NEEDS and SERVICE PARTNERS
Form HUD-52769 - Needs Providers Form.doc
Yes
Yes
Fillable Fileable Signable
Form and Instruction
HUD-52768 - Original Version
ROSS Service Coordinators - Funding Request
HUD-52768 - Original Version.pdf
Yes
Yes
Fillable Printable
Form and Instruction
HUD-52769 - Original Version
ROSS Service Coordinators - NEEDS and SERVICE PARTNERS
HUD-52769 - Original Version.pdf
Yes
Yes
Fillable Fileable Signable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Homeownership Promotion
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
425
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
100 %
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
425
0
0
25
0
400
Annual IC Time Burden (Hours)
2,325
0
0
125
0
2,200
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.