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

Documents and Forms

Document Name Document Type
Form 52768 Application for the Resident Opportunities and Self Sufficiency (ROSS) Program Form
Form 52768 Application for the Resident Opportunities and Self Sufficiency (ROSS) Program Form
52768 Resident Opportunity & Self-Sufficiency (ROSS) Service C Final - EO14151revHUD 52768.docx Form
52768 Resident Opportunity & Self-Sufficiency (ROSS) Service C Final - EO14151revHUD 52768.docx Form

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	52768	Resident Opportunity & Self-Sufficiency (ROSS) Service Coordinator Funding	Final - EO14151revHUD 52768.docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 350	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	350	350
Annual IC Time Burden (Hours)	1,181	1,181
Annual IC Cost Burden (Dollars)	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.