Information Collection

Social Services Block Grant Preexpenditure Report

IC 10079 under ICR 200803-0970-007 · OMB 0970-0234.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0234 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Social Services Block Grant Preexpenditure Report Form
Attachment B_Instructions for SSBG Reporting Form.doc Instruction
1 Postexpenditure Report Attachment A_SSBG Postexpenditure Reporting Form.doc Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Social Services Block Grant Preexpenditure Report	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 45 CFR 96

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1	Postexpenditure Report	Attachment A_SSBG Postexpenditure Reporting Form.doc		No	No	Paper Only
Instruction			Attachment B_Instructions for SSBG Reporting Form.doc		No	No	Paper Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 56	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 41 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	56	0	56
Annual IC Time Burden (Hours)	56	-6,104	6,160
Annual IC Cost Burden (Dollars)	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.